Additive effect of butorphanol in supraclavicular brachial plexus block
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 6
Abstract
Introduction: Increasing the quality of regional anaesthesia has always been an area of interest for anaesthesiologist. Butorphanol is a synthetic opioid analgesic having partial agonist at μ & agonistic activity at kappa opioid receptor. It use has been done as a single drug as well as in combination with a local anaesthetic for axillary brachial plexus blockade. Material and Methods: 60 Patients were allocated randomly into one of the two groups of 30 patients each to receive supraclavicular brachial plexus block. In Group B, 30 ml of 0.5% bupivacaine hydrochloride plus 1ml normal saline and in Group BB, 30 ml of 0.5% Bupivacaine hydrochloride plus 1ml butorphanol (2mg). Onset time of sensory & motor block, duration of motor block & post operative analgesia was observed. Results: The mean duration of sensory block was 4.27 ± 0.51 hrs in group B and 9.10 ± 0.71 hrs in group BB and mean duration of motor block was 3.57 ± 0.56 hrs in group B and 5.13 ± 0.51 hours in group BB. The difference in the two groups was found to be statistically highly significant (< 0.001). The duration of post operative analgesia was 5.27 ± 0.77 in group B and 11.37 ± 0.85 in group BB (p < 0.001). Conclusion: Addition of butorphanol 2mg with bupivacaine prolongs the duration of blockade and postoperative analgesia in supraclavicular brachial plexus blockade without compromising the haemodynamic parameters or producing any significant adverse drug reactions.
Authors and Affiliations
Radhe Sharan, Manjit Singh, Joginder Pal Attri, Davinder Singh
Keywords
Related Articles
- EP ID EP230189
- DOI 10.17511
- Views 146
- Downloads 0
Spontaneous cervical emphysema: a challenge in establishing a plausible etiology
Spontaneous cervical emphysema occurs in the absence of previous disorders or intiating factors and often poses a challenge in establishing an etiology at presentation. We report a 23 year old lady who presented with ext...
Altered PTEN expression as a diagnostic marker for the earliest endometrial precancerous changes
Introduction: Study was planned to investigate PTEN gene expression in endometrial hyperplasia and carcinoma as analyzed by immunohistochemistry. Material and Method: This study was conducted on 80 endometrial samples in...
Inhibitory effects of copper on bacterial and fungal growth
Introduction: Researchers conducted a literature, technology and patent search that traced the history of understanding the “bacteriostatic and sanitizing properties of copper and copper alloy surfaces” which demonstrate...
An analysis of ocular features and vision loss at presentation and after treatment in systemic lupus erythematosus in 60 patients
Introduction: Systemic lupus erythematosus (SLE) is a chronic, inflammatory, multisystem autoimmune disease and ocular involvement occurs in several forms. It may be the first indicator of underlying SLE. Early identific...
Drain site hernia in adult - case report and review of literature
Hernia is a very common surgical problem. Drain site hernias are very rare (0.1-3.4 %) incidence quoted in literature. We report the case of a 40year old male who presented with a swelling in the right lower abdomen. CT...