A comparative study of dexmedetomidine and nalbuphine as an adjuvant to bupivacaine in lower limb surgeries done under epidural anaesthesia
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 3, Issue 1
Abstract
Aims and Objectives: To compare the clinical profile of Nalbuphine and Dexmedetomidine as an adjuvant to Bupivacaine when administered epidurally with respect to sensory and motor blockade, level of sedation and duration of analgesia. Material and Methods: A study was carried out in the Department of Anaesthesiology of Indira Gandhi Government Medical College and Hospital, Nagpur from Nov 2014 to October 2016. The study included 70 adult patients undergoing infraumbilical and lower limb surgeries in epidural anaesthesia. Assessment of motor blockade was done with Modified Bromage Scale. Degree of pain was evaluated by Visual Analogue Scale. Level of Sedation was assessed by Five Point Scale. Result: There was statistically significant difference between the groups for onset of sensory block, duration of analgesia and reversal of motor blockade. The onset of motor blockade, time to achieve maximum sensory and motor blockade, sedation score, Visual analogue scale score were comparable between the groups. Conclusion: Dexmedetomidine is a better adjuvant to Bupivacaine for epidural anaesthesia when compared to Nalbuphine as it provides earlier onset of sensory blockade, prolonged duration of sensory block and postoperative analgesia with stable vitals and minimal side effects.
Authors and Affiliations
Sonali M Khobragade, Jagdish Kalbhor, Ruchi Saran, Sandhya Manjrekar, Soma Cham
Keywords
Related Articles
- EP ID EP260426
- DOI -
- Views 631
- Downloads 0
Unilateral spinal anaesthesia: An alternative and effective approach in infra-umbilical surgeries in geriatric population
Background: Spinal anaesthesia is simple, easy to administered and reliable cost-effective technique that has been widely used for infra-umbilical surgery. For day care surgical treatment of infra-umbilical origin on one...
Challenges of managing a post-arrest resuscitated patient for urgent CABG and concomitant non-cardiac surgery under same anaesthesia
Background: Coronary artery disease is a leading cause of morbidity and mortality.2016 Heart disease and Stroke Statistics of AHA reported 15.5 million people more than 20 years in USA have CAD, number increasing with ag...
Study of post spinal anesthesia hearing loss:A hospital based study
Background: Spinal anaesthesia is one of the most frequent regional anaesthesia techniques in surgical interventions, being used in all procedures below the umbilicus. Hearing loss following spinal anaesthesia is a known...
Comparison of Propofol and Thiopentone as anaesthetic agents for electroconvulsive therapy - A prospective, double blinded cross over trial
Background: The ideal anaesthetic agent for electroconvulsive therapy (ECT) should provide a smooth, rapid induction and recovery with minimal antagonistic effect on the seizure activity. We compared two induction agents...
A randomized, prospective, comparative study to evaluate the motor blockade properties of 3ml of 0.5% isobaric levobupivacaine and 3ml of 0.5% isobaric ropivacaine for spinal anaesthesia in patients undergoing elective lower limb orthopaedic surgeries
Background: Levobupivacaine is S (-) enantiomer of bupivacaine. It is somewhat less cardiotoxic than the racemic bupivacaine. It seems to be an attractive alternative to Bupivacaine. Ropivacaine is a long acting regional...