Comparative study of 0.5% lignocaine with dexmedetomidine and 0.5% lignocaine in intravenous regional anesthesia

Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 4, Issue 2

Abstract

Background: Intravenous regional anaesthesia (IVRA) is a simple and reliable technique, with success rates between 94% to 98%. The local anaesthetic most often used is lignocaine. dexmedetomidine, a potent α-2 adrenoceptor agonist is approximately 8 times more selective than clonidine4. Administration of dexmedetomidine as an adjuvant to local anaesthetic has many advantages. In this study we compared lignocaine with lignocaine and dexmedetomidine in IVRA for elective hand and forearm surgeries. Aims and Objectives: To compare onset, quality and duration of sensory and motor block, tourniquet pain, postoperative analgesia, complications and hemodynamic stability after using Dexmedetomidine as an adjuvant. Materials and Methods: 60 Patients undergoing elective hand and forearm surgeries were randomly assigned to Group L (0.5% Lignocaine 200 mg) and Group LD (0.5% Lignocaine 200 mg and 0.5 ug/kg of Dexmedetomidine). Results: Demographic data were comparable. Conclusion: Addition of Dexmedetomidine to lignocaine provides IVRA with quicker onset of sensory and motor block, better quality of anaesthesia, prolonged duration of sensory, motor blockade and postoperative analgesia, delays the onset and severity of tourniquet pain, better hemodynamic stability without any adverse effects.

Authors and Affiliations

Suhas Jewlikar, Ashwini Suryawanshi

Keywords

Related Articles

Assessment of post-operative pain relief after bupivacaine infiltration in paediatric patients

Background: Pain assessment is the most important and critical component of pain management. Assessing pain in children is an ever challenging as well as a difficult task. Aim: To assess the post-operative pain relief af...

Role of Inj. Dexamethasone for prevention of post operative nausea and vomiting in laparoscopic surgeries

Aims and Objectives: To study the role of inj. Dexamethasone for early and late Post Operative Nausea and Vomiting in laparoscopic surgeries. And also to record side effects of dexamethasone. Study Design: Prospective, r...

A prospective study of comparison of control of bleeding with tranexamic acid vs placebo in acute trauma patients

In our trauma care centre we receive around 2000 cases per month ranging from Polytrauma, Faciomaxillary injury, Both bone fracture Upper limb, Lower limb, Vascular trauma, Abdominal injuries of patients of variable age...

A clinical comparative study between bupivacaine with clonidine and bupivacaine alone in paravertebral block for simple breast surgery

Background: Regional anesthesia using paravertebral block, intercostalblock, and epidural anesthesia have been suggestedas an alternative technique in simple breast surgery. Regional techniques reduce postoperative pain...

Comparison of haemodynamic changes during laproscopic surgery and postoperative analgesia while using fentanyl and butorphanol as a premedication

Back ground and Aim: Laproscopy surgery has advantages like minimal tissue trauma, reduced post operative complication and early recovery to normal activity. Laproscopy requires pneumoperitoneum which causes various card...

Download PDF file
  • EP ID EP260438
  • DOI -
  • Views 234
  • Downloads 0

How To Cite

Suhas Jewlikar, Ashwini Suryawanshi (2017). Comparative study of 0.5% lignocaine with dexmedetomidine and 0.5% lignocaine in intravenous regional anesthesia. Medpulse International Journal of Anesthesiology, 4(2), 66-70. https://europub.co.uk/articles/-A-260438