An Observational Study to Compare Dexmedetomidine and Clonidine as Adjuvant to Local Anaesthetic Ropivacaine (0.5%) in Supraclavicular Brachial Plexus Block for Upper Limb Surgery
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 4
Abstract
Context: Various adjuvants have been used with Ropivacaine in supraclavicular blocks to enhance sensory and motor block along with prolongation of postoperative analgesia. Aim: To compare the effect of dexmedetomidine and clonidine as adjuvant to 0.5% ropivacaine in supraclavicular brachial plexus block with respect to onset and duration of sensory and motor block and duration of analgesia. Methods and Material: After ethical committee’s approval, a prospective randomised study of 60 patients aged18-60 years were randomly divided into two groups (Group C and Group D) of 30 each. Group C received 50mcg clonidine with ropivacaine (29ml), Group D received 50mcg dexmedetomidine with ropivacaine (29ml), via supraclavicular approach. Onset and duration of sensory and motor block and duration of analgesia in both groups were evaluated. Intraoperative hemodynamics and adverse effects were observed. Statistical Analysis: Numerical-variables were presented as mean & standard-deviation while categorical-variables were presented as frequency and percent. For analysis, unpaired student t-test and chi-square test were used. Results: Early onset and prolonged duration of sensory and motor block and prolonged duration of analgesia was seen in group D, as compared to group C. Conclusion: Dexmedetomidine produces rapid onset and prolonged duration of sensory and motor block and also prolonged duration of analgesia with good hemodynamic stability with no side effects as compared to clonidine.
Authors and Affiliations
Priyanka Singla
Keywords
Related Articles
- EP ID EP535619
- DOI 10.21088/ijaa.2349.8471.5418.16
- Views 77
- Downloads 0
Comparison of Intravenous Clonidine with Intravenous Lignocaine for Attenuation of Endotracheal Intubation Induced Haemodynamic Response
Background: Endotracheal intubation is the standard practice for general anaesthesia inspite of many supraglottic airway devices have arrived. Various drugs have been used till date to attenuate the hemodynamic response...
Comparison of Laryngeal Mask Airway (LMA) & Cuffed Oropharyngeal Airway (COPA) in Spontaneously Breathing Anaesthetized Patients for Short Surgical Procedure
Background: No anaesthesia is safe or satisfactory unless diligent efforts are made towards maintenance of functioning, unobstructed airway. LMA & COPA both devices can be used to establish an airway for spontaneously br...
Comparison of Butorphanol and Buprenorphine as an Adjunct to Local Anaesthetic Solution in Brachial Plexus Block
The supraclavicular brachial plexus is one among the most popular regional nerve blocks performed. The easy and predictable landmarks make it a popular approach. The advantages are –It provides long lasting post operativ...
Comparison of Bupivacaine 0.375% and Ropivacaine 0.375% in Supraclavicular Block under Ultrasound Guidance for Upper Limb Surgeries
Background: Regional anesthesia is comparatively safer than general anesthesia. Regional anesthesia can be safely used in outpatient anesthesia, patients with full stomach, diabetic patients, associated cardiac, pulmonar...
Sedation with Dexmedtomidine or General Anaestesia in Combination with Regional Anaesthesia in Mastoid Surgeries: A Comparitive Study
Mastoid surgery can be performed under general anaesthesia (GA) or sedation both combined with regional anaesthesia ((RA). There are very few studies comparing both the techniques. Dexmedetomidine is the sedative agent o...