Comparative study of effects of tramadol and midazolam added to bupivacaine (0.25%) in supraclavicular brachial plexus block for upper limb surgeries
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 4, Issue 1
Abstract
Background: Supraclavicular brachial plexus block is commonly used for upper limb surgeries due to its effectiveness, performance and margin of safety. To minimize the drawbacks of bupivacaine, adjuvants are usedto improve the quality and duration of action and postoperative analgesia. Aim: To compare the effects of tramadol and midazolam added to bupivacaine (0.25%) in supraclavicular brachial plexus block for upper limb surgeries. Material and Methods: A total of 60 adult cases from both sexes were randomly grouped into group I(received 40ml of 0.25% bupivacaine with 1mg/kg tramadol) and group B (Received 40ml of 0.25% bupivacaine with 25µg/kg midazolam preservative free). Results: The onset of sensory blockade was early in group II as compared to group I and statistically significant. The duration of postoperative analgesia was 12-14 hours in group II and was 6-8 hours in group I and was statistically significant. The changes in the pulse rate, blood pressure, respiratory rate were statistically significant in group II compared to group I. Conclusion: Midazolam with bupivacaine provides early and profound sensory and motor blockade as well as good postoperative analgesia without any side effects when compared with tramadol with bupivacaine.
Authors and Affiliations
Kiran V Todkari, Shailendra D Chauhan, Vinayak Sirsat
Keywords
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