A Study of Clonidine and Dexmedetomidine as Adjuvant to Epidural Levobupivacaine for Post Operative Analgesia in Infraumbilical Surgeries
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 2
Abstract
Background: Epidural analgesia with adjuvant is the popular method for intra and postoperative pain relief but search for ideal adjuvant for prolonging the duration of postoperative analgesia without any side effect goes on. Aim: This study was conducted to study the onset, extent and duration of sensory and motor block and side effects of clonidine or dexmedetomidine when used as an adjuvant in epidural levobupivacaine. Materials and Methods: 80 patients of ASA status I and II, posted for infraumbilical surgery were randomly allocated into two groups of 40 each. Group I group patients received 18 ml of 0.5% levobupivacaine and clonidine 2mcg/kg in epidural route and Group II group patients received 18 ml of 0.5% levobupivacaine and dexmedetomidine 1.5mcg/kg in epidural route. Itraoperative and postoperative block characteristics as well as hemodynamic parameters were observed and recorded. Results: Dexmedetomidine had an earlier onset and longer duration of sensory and motor block in comparison to clonidine. Sedation scores were statistically significant with dexmedetomidine group in comparison to clonidine group. Conclusion: Dexmedetomidine was a better than clonidine as an adjuvant to levobupivacaine in epidural anaesthesia in total knee replacement.
Authors and Affiliations
Dr Narayan Acharya
Keywords
Related Articles
- EP ID EP273423
- DOI -
- Views 68
- Downloads 0
The Diagnosis of Serous Forms of Extra pulmonary Tuberculosis: Is PCR Definite Answer?
Objectives: To study the evaluation the use of polymerase chain reaction (PCR) in patients of serous form of extra pulmonary tuberculosis. Methods: We studied all patients of serous form of extra pulmonary tuberculosis w...
A Study on Rare Cases and Bacterial Infections in Children
The present was a short-term study and conducted for a period of five months in order to study the incident rate of bacterial infections that occur commonly and rarely in children. A total of 50 clinical samples like blo...
Effect of Probioitcs on the Time Taken to Reach Full Enteral Feeds in Preterm/ Very Low Birth Weight Infants
Probiotics are the most researched yet least used in neonatalogy in recent times. Probiotics are proposed to have a major role in promoting the feed tolerance in the preterm and very low birth babies.
A Study of Self Reported Mental Health Problems in Antenatal Women
Background: It is now well established that psychiatric disorders are common in pregnancy. The present study aimed at finding out the nature of mental health problems in antenatal women coming to a teaching hospital in J...
Peyronies Disease: Report of a Successful Non Surgical Treatment
Peyronie's disease is rare localized connective tissue disorder of tunica albuginea characterized by progressive fibrosis, formation of sclerotic plaques, calcification and abnormal curvature of the erect penis. We repor...