Comparison of Butorphanol and Buprenorphine as an Adjunct to Local Anaesthetic Solution in Brachial Plexus Block

Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2017, Vol 4, Issue 2

Abstract

The supraclavicular brachial plexus is one among the most popular regional nerve blocks performed. The easy and predictable landmarks make it a popular approach. The advantages are –It provides long lasting post operative analgesia, there by reducing the systemic analgesic requirement; it aids in early ambulation, overcoming the disadvantages of general anaesthesia. Methodology: 60 patients undergoing upper limb surgery lasting more than thirty minute were included in the study. The elective surgical interventions were internal fixation of bones with plates and screws, excision of bone cysts, reconstructive and other surgeries involving upper limb Results: Onset of sensory blockade (time between injection and total abolition of pinprick response) was 20.47+/­3.64 min in group A and 19.49+/­4.90 min in group B. However there was no significant change in time of onset (p=0.373). Duration of sensory blockade (the time between injection and complete recovery from sensory disturbance) was comparable in both groups (group A 385.67+/­66.67 min, group B 380.50+/­80.15 min) without any statistical significance (p=0.787). Conclusion: There was no statistical significance in terms of onset, durations of surgery, sensory blockade and motor blockade between the two groups However the average duration of analgesia were 14.13+/­8.41 hrs and 22.18.+/­12.13 hrs in groups A and B respectively, showed statistical significance.

Authors and Affiliations

Hareesh S. B.

Keywords

Related Articles

A Prospective Randomized Study of Percutaneous Tracheostomy versus Surgical Tracheostomy

Aim: Aim of study was to compare Percutaneous Tracheostomy ( PT) and Surgical Tracheostomy (ST) both for complications, duration of procedure ,cost and easy of doing it. Objective of our study was to find out time taken...

Comparative Evaluation of two Different Intravenous Doses of Midazolam to Aid the Insertion of LMA Classic as Adjuvants to Propofol Anaesthesia

Background: Propofol is a widely accepted medication for the uccessful insertion of laryngeal mask airway, but as a sole induction agent, it has a very low success rate. A number of co-induction agents have been used w...

A Comparative Study of Efficacy of Intrathecal Fentanyl and Nalbuphine as an Adjuvant to Bupivacaine 0.5% Heavy for Lower Limb and Lower Abdominal Surgeries

Introduction: Opioids have been extensively used as an adjuvant because of excellent results in neuraxial blocks. Fentanyl is widely used but is found to have higher incidence of pruritus for which Nalbuphine was conside...

Comparison of Dexmedetomidine Versus Midazolam in Providing Sedation for Endoscopy

Background: To minimize patient discomfort, anxiety and pain and to improve patient cooperation throughout the procedure and ease the performance of the procedure by the endoscopists conscious sedation is required. The m...

Comparison of Butorphanol and Buprenorphine as an Adjunct to Local Anaesthetic Solution in Supraclavicular Brachial Plexus Block

Introduction: Opioids are well studied adjuncts although the evidence regarding the analgesic benefit of opioid adjuncts remain equivocal. The effectiveness of buprenorphine and butorphanol administered as adjuncts to lo...

Download PDF file
  • EP ID EP464982
  • DOI 10.21088/ijaa.2349.8471.4217.20
  • Views 64
  • Downloads 0

How To Cite

Hareesh S. B. (2017). Comparison of Butorphanol and Buprenorphine as an Adjunct to Local Anaesthetic Solution in Brachial Plexus Block. Indian Journal of Anesthesia and Analgesia, 4(2), 300-305. https://europub.co.uk/articles/-A-464982