ANALGESIC EFFICACY OF PARACETAMOL WHEN USED AS ADJUVANT IN IVRA
Journal Title: International Journal of Medical Research & Health Sciences (IJMRHS) - Year 2016, Vol 5, Issue 1
Abstract
Introduction: Intravenous regional anaesthesia (IVRA) or Bier’s block is easy to administer, reliable, and cost-effective for short operative procedures of the extremities performed on an ambulatory basis where a local anaesthetic is injected intravenously using tourniquet. Objectives: To compare the effectiveness of i.v paracetamol as add on therapy to lidocaine in Intravenous Regional Anaesthesia with those receiving plain Lidocaine .Methodology:66 patients were randomly and blindly divided into 3 groups. All groups received IVRA lidocaine (3 mg/kg) diluted with saline to a total volume of 40 mL. Group 1 - lidocaine plus IV saline, Group - lidocaine and paracetamol (300 mg) admixture plus IV saline, and Group 3 - lidocaine plus IV paracetamol (300 mg).Sensory and motor block onset time, tourniquet pain, and analgesic use were assessed during operation. Visual analog scale (VAS) scores was used to assess pain. Results: Onset of motor block was shorter and recovery of motor and sensory block was significantly longer in Group 2 (P < 0.05). VAS scores were significantly lower in Group 2 (P < 0.05).Preoperative and postoperative analgesic consumption was significantly less in Group 2 (P <0.05). Conclusion: The addition of paracetamol during IVRA with lidocaine decreased tourniquet pain, increased anaesthesia quality, and decreased postoperative analgesic consumption.
Authors and Affiliations
Pankaj Kumar| Resident, Department of Anaesthesiology, Rural Medical College, Loni, Maharashtra, E-mail: sgdeogaonkar@yahoo.com, Deogaonkar SG| Asso. Prof. and Co-Guide, Department of Anaesthesiology, Rural Medical College, Loni, Maharashtra, Manju Jha| Professor & HOD, Department of Anaesthesiology, Rural Medical College, Loni, Maharashtra
Keywords
Related Articles
- EP ID EP11568
- DOI 10.5958/2319-5886.2016.00014.X
- Views 249
- Downloads 10
IN VITRO EFFECT OF VITAMIN C ON THE LABORATORY ISOLATES OF MYCOBACTERIUM TUBERCULOSIS WITH KNOWN SENSITIVITY AND RESISTANCE TO THE FIRST LINE ANTI TUBERCULAR DRUGS: AN EXPERIMENTAL PILOT STUDY
Background and Objectives: Globally, 3.5% of new cases of Tuberculosis (TB) and 20.5% of previously treated cases are estimated to have multidrug- resistant tuberculosis, the corresponding estimates for India are 2.2%,...
A STUDY ON PULMONARY FUNCTION TESTS IN WEAVERS
Occupation is the one in which person not only earn his daily bread but also spend one third of average adult life. As the number of industries is on the increase, several industries like cement industries, chemical in...
SIGNIFICANCE OF PLATELET COUNT AND PLATELET INDICES IN PATIENTS WITH SOME THROMBOCYTOPENIC CONDITIONS
Background: Thrombocytopenia is one of the most frequent causes for hematologic consultation in the practice of medicine and can result from a wide variety of conditions. Objective: The study was conducted on behave of...
The Relationship between Parenting Styles and Happiness with the Mediating Role ofEmotional Intelligence
The current study sought to investigate the mediating role of emotional intelligence in the correlation between parenting style and happiness. The research method adopted was correlational and descriptive in nature. The...
CORONARY DOMINANCE IN SOUTH INDIAN POPULATION
Coronary artery anomalies are considered clinically insignificant and known to be associated with other congenital heart defects, myocardial ischemia and reduced life expectancy. Almost all elderly people have at least...