Clonidineasanadjuvanttoropivacaine(0.5%)insupraclavicularbrachialplexusblock
Journal Title: Medpulse International Journal of Anesthesiology - Year 2018, Vol 8, Issue 3
Abstract
BackgroundandAim:Supraclavicularapproachforbrachialplexusblockhasrapidonsetandprovidescompleteandpredictableanesthesiaforentireupperextremityandparticularly,handsurgery.Inthisstudy,weobservedtheefficacyandsafetyofclonidineasanadjuvanttoropivacaineinsupraclavicularbrachialplexusblock.Method:ThirtyfiveAmericansocietyofAnesthesiologistgradeIandIIadultpatientswhowerescheduledtoundergoupperlimbhandsurgerywereselectedtoreceiveunilateralsupraclavicularblock:Ropivacaine0.5% (30ml)+clonidine1μg/kg.Allthepatientswereassessedfor:Onsetofsensoryblock,Onsetofmotorblock,Durationofmotorblock,Durationofanalgesia,Hemodynamicstability,Ramsaysedationscore.Anticipatedcomplicationssuchaspneumothorax,hematoma,arrythmias,tinnitus,dizziness,circumoralnumbnessandseizureswerenotedanddocumented.Result:Themeandurationofsensoryblockwas505.1±35.6minwithRopivacaineandClonidine.Themeandurationofmotorblockwas438.9±36.3minwithRopivacaineandClonidine.ThemeandurationofanalgesiawithRopivacaineandClonidinewas580.6±36.5min.Conclusion:Weconcludethatclonidine,1μg/kgwhenaddedasanadjuvanttoropivacaineinsupraclavicularbrachialplexusblockhassignificantlyprolongedthedurationofanalgesiaalongwithsignificantincreaseinthedurationofsensoryandmotorblockade.Clonidinedidnothavesedativeeffect.Soclonidineisabetteradjuvantinsupraclavicularbrachialplexusblockforupperlimbsurgeries.
Authors and Affiliations
P V Bhale, Apurva Deshmukh, PannagBhushan Dasmohopatra
Keywords
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- EP ID EP453271
- DOI 10.26611/1015837
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