Comparison of clonidine adjuvants to ropivacaine in subclavian perivascular approach of supra clavicular brachial plexus block
Journal Title: International Archives of Integrated Medicine - Year 2018, Vol 5, Issue 5
Abstract
Introduction: Brachial plexus block is sole anesthesia for upper limb surgeries. Several techniques have been used to prolong the duration of regional anesthesia. The aim of the study: To compare the effectiveness of Clonidine as adjuvants to Ropivacaine in supraclavicular Brachial plexus block for prolonging the duration of motor blockade and prolonging the duration of analgesia. Materials and methods: 60 Patients of ASA grade I and II undergoing upper limb surgeries were randomly assigned into two groups R and RC. Surgery was done under the subclavian perivascular approach of supraclavicular brachial plexus block. The patients in group R received 25 ml at 0.75% Ropivacaine with 1 ml Normal saline. In a group RC received 25 ml at 0.75% Ropivacaine and 1 ml of (150 micrograms) clonidine. Parameters observed were a time of onset at the sensory block and motor block, duration of motor blockade, and sensory blockade, duration of postoperative analgesia, sedation score and side effects. Results: Addition of clonidine to Ropivacaine shows early onset of motor blockade compared to Ropivacaine alone. Addition of clonidine to local anesthetic solution significantly prolongs the duration of postoperative analgesia by 276 minutes compared to Ropivacaine alone. Addition of clonidine to Ropivacaine increased the duration of motor blockade by 132 minutes compared to Ropivacaine alone. Conclusion: The addition of clonidine to the local anesthetic in supraclavicular brachial plexus produces the early onset of sensory and motor blockade and prolongs the duration of both sensory and motor blockade and postoperative analgesia, when compared to Ropivacaine alone.
Authors and Affiliations
S Arul Rajan, N Sathyan, T Murugan
Keywords
Related Articles
- EP ID EP414184
- DOI -
- Views 128
- Downloads 0
Role of thoracoscopic pleural biopsy in low Adenosin DeAminase pleural effusions: A hospital based cross sectional study
Background: To obtain the good amount of specimen by biopsy for proper diagnosis, thoracoscopy is a very good tool. Using thoracoscopy the diagnostic accuracy can reach 100% whereas the diagnostic accuracy of the closed...
Dengue presenting as Acute Liver Failure – A case report
Background: Dengue is the most common arboviral illness in humans. It is transmitted by mosquitoes of the genus Aedes, which are widely distributed in subtropical and tropical countries. The dengue virus has four related...
Study of expression of P53 in Gastric Carcinoma – As a prognostic indicator
Cancer of stomach remains the major cause of mortality worldwide despite a marked decline in the incidence of gastric carcinoma in the industrialized nations. Gastric cancer is the end result of multifactorial, multigene...
A study of phacoemulsification cataract surgery preference over Small Incision Cataract Surgery in rural eye center of Bodhan, Nizamabad District
Cataract is a major cause of decreased vision in elderly aged population. In rural areas till last decade small incision cataract surgery with IOL implantation is the only surgical option for treating cataracts. In recen...
Conventional D.C.R vs D.C.R implant method in chronic dacryocystitis
Background: Chronic dacryocystitis is the commonest cause of lacrimal passage obstruction indicates inflammation of lacrimal sac. Dacryocystorhinostomy (DCR) is the preliminary choice of surgical procedure in which lacri...