CLONIDINE VERSUS DEXMEDETOMIDINE AS ADJUVANT TO 0.5% ROPIVACAINE IN INFRACLAVICULAR VERTICAL BRACHIAL PLEXUS BLOCK- A RANDOMISED CONTROL STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 10
Abstract
BACKGROUND Adjuvants/adjuncts are the drugs, which when added to local anaesthetics tend to improve the quality of block and increase duration of analgesia. The purpose of this study was to compare two novel alpha-2 agonist clonidine and dexmedetomidine when added as adjuvant to 0.5% ropivacaine in infraclavicular vertical brachial plexus block in respect to onset, duration of sensory and motor block along with duration of analgesia. MATERIALS AND METHODS A total of 60 patients confirming to inclusion criteria, undergoing elective upper limb surgeries under BPB in VIMSAR, Burla, were enrolled for the study over a period of one year. Sensory block was evaluated by Hollmen scale. Onset time of sensory block, time for complete sensory block and total duration of sensory block were recorded. Motor block was evaluated by using Bromage scale. Onset time of motor block, time for complete motor block and total duration of motor block were recorded. Level of sedation was assessed using the Ramsay sedation score. Postoperatively, sensory block and motor block and postoperative pain (by visual analogue scale) were assessed. RESULTS The sensory motor block was significantly rapid and the duration of analgesia was significantly prolonged in dexmedetomidine group as compared to clonidine group. CONCLUSION Addition of 1 μg/kg of dexmedetomidine as adjuvant to 0.5% ropivacaine for infraclavicular vertical brachial plexus block is better as compared to 1 μg/kg of clonidine.
Authors and Affiliations
Harikrishna Dalai, Sraban Kumar Dash, Prativa Panda, Ramesh Chandra Samantaray
ISOLATED ECTOPIA CORDIS: A RARE ANOMALY IN ASSOCIATION WITH CONSANGUINITY
Thoracic type of isolated ectopia cordis is a rare anomaly with a reported prevalence of 8 per million live births. We report a case of isolated ectopia cordis in a neonate born out of second degree consanguinity, presen...
DEVIATED NASAL SEPTUM IN A POPULATION OF EASTERN INDIA PRESENTING WITH SINONASAL COMPLAINTS - A RADIOLOGICAL STUDY
BACKGROUND Sinonasal problems are a group of common conditions faced by otorhinolaryngologists in clinical practice. Much of these troubles have been attributed to a deviated nasal septum (DNS). It is presumed that these...
ORBITAL VENOUS VARIX- AN UNCOMMON VASCULAR MALFORMATION
PRESENTATION OF CASE A 23-year-old male presented to eye OPD with complain of mass in left eye since the last 3 years. He developed mild pain and redness in the same eye since the last 10 days. There was no history of tr...
ATORVASTATIN IN ACUTE STROKE: A STEPPING STONE TO THE SERENDIPITY
BACKGROUND Stroke is a vascular dismay that has led to several deaths and deformities. Despite this unwarranted picture it is largely preventable and treatable. The statins have been the flagship molecules for the purpos...
COMPARISON OF PREVALENCE OF DRY EYE IN PREMENOPAUSAL AND POSTMENOPAUSAL WOMEN IN A TERTIARY CARE CENTRE IN SOUTHERN INDIA
BACKGROUND Ocular symptoms due to dry eye is the most frequently encountered problem in the old age, especially in females. Owing to fluctuating levels of various hormones in the female body with advancing age, various h...