A Prospective Observational Study to Evaluate the Role of Levobupivacaine with Dexmedetomidine in Supraclavicular Brachial Plexus Block in Patients Undergoing Upper Limb Orthopaedic Surgeries
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 3
Abstract
Background: Supraclavicular brachial plexus block provides effective, low cost and very safe anaesthesia with good postoperative analgesia. This study was conducted to evaluate the postoperative analgesic efficacy and safety of dexmedetomidine for brachial plexus blockade along with levobupivacaine. Methods: This prospective observational study was conducted on 50 ASAI/II patients of age 18 to 60 years posted for various upper limb surgeries. The patients in this study received 1.5% xylocaine with adrenaline (20 millilitre) and 0.5% levobupivacaine (16 millilitre) plus dexmedetomidine 50 μg (1 mililitre) making a total volume of 37 ml via supraclavicular route. Assessment of motor and sensory blockade, pulse, systolic blood pressure, diastolic blood pressure and mean arterial pressure, SPO2 and side effects were noted every 5 minutes for first 30 minute and every 15 minute till end of surgery. Duration of analgesia and incidence of various complications following the procedure were observed. Results: Post-hoc bonferroni test is used for the inter-group comparison of mean HR, SBP, DBP and MAP between different time intervals. A significant difference was observed among all variables. The mean onset of sensory block was 342.50±89.56, mean duration of sensory block was 959.25±186.61, mean onset of motor block was 239.05±62.21, mean duration of motor block was 1059.35±252.35 and mean duration of analgesia was 1254.96±243.62. Conclusion: Dexmedetomidine with levobupivacaine in supraclavicular block provides better hemodynamic stability and greater postoperative analgesia.
Authors and Affiliations
Saurabh Gupta, Rohit Kumar Varshney, Rangit P Pandey, G. L Garg, G. S Jheetay, Pallavi Ahluwalia
Keywords
Related Articles
- EP ID EP548086
- DOI 10.21276/ijmrp.2017.3.3.046
- Views 110
- Downloads 0
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