Comparison of Perioperative Anaesthesia using Epidural Ropivacaine, Ropivacaine with Clonidine and Ropivacaine with Dexmeditomedine in Abdominal Hysterectomies
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 4
Abstract
Background: General Anesthesia or Regional anesthesia (Spinal/Epidural) is the technique used for Abdominal Hysterectomy surgeries. Regional anesthesia is preferred for lower abdominal surgeries. Local anaesthetics used commonly are Lignocaine, Bupivacaine & Ropivacaine. Clonidine and Dexmeditomedine are α2-adrenoreceptor agonists with anxiolytic and dose-related sedative properties. In addition to above properties, they provide good analgesia devoid of respiratory depression and good adjuncts to local anaesthetics. Aim 1. To compare the clinical effects of epidural Dexmedetomidine and epidural Clonidine when used as adjuvant to epidural Ropivacaine 2. To find out the time of first epidural top up. 3. To find the number of analgesic requirement until the time of first epidural top up. Materials And Methods This study was conducted after obtaining approval of institutional technical committee and Human Ethical committee of Government Medical College Trivandrum. Study design: Prospective cohort study Study setting: Government Medical College Trivandrum. 120 patients were selected and divided into 3 groups randomly. First group received Ropivacaine alone(R), second Ropivacaine plus Clonidine(RC) and third group Ropivacaine plus Dexmeditomedine(R). Inclusion Criteria Patients undergoing elective Abdominal Hysterectomy (ASA) I & II Age 30 – 60 years Weight 40 – 80 kg Height 145 – 165 cm Exclusion Criteria Patient refusal Patients on sympathomimetics, sympatholytic or anticholinergic drugs Known hypersensitivity to Dexmedetomidine/clonidine/local anaesthetics
Authors and Affiliations
Dr Chitra V. R
Keywords
Related Articles
- EP ID EP285151
- DOI -
- Views 33
- Downloads 0
Role of Immunohistochemistry in Diagnosis of Undifferentiated Malignant Tumours
Background: Immunohistochemistry provides a true identitiy for undifferentiated tumours. The accurate typing of malignant and benign tumours are important for prognostic and therapeutic purposes. Aim: The present study i...
An Evaluative Study of Diffusing Lung Capacity in Normal young adults Aged between 16 to 29 in Mumbai Metropolitan
Pulmonary function test in the form of spirometry, measurement of lung volume including total lung capacity (TLC), functional residual capacity (FRC) , Residual volume (RV) & single breath diffusion capacity measurement...
An Analysis of the Clinical Manifestations and Complications of Scrub Typhus in Adult Patients
Background: Rickettsial diseases are responsible for a substantial proportion of undiagnosed febrile illnesses in the tropics. Scrub Typhus is prevalent in many parts of India. It is difficult to diagnose as the symptoms...
Comparison of the Induction and Recovery Characteristics of Propofol and Thiopentone Sodium for Gynaecological Diagnostic Day Case Laparoscopies
Background: Over the past three decades, outpatient surgery has grown at an exponential rate. Various surgical conditions have been diagnosed and treated using laparoscopy on a day care basis. Aim: To study the induction...
Role of counseling services for HIV positive persons in coping with HIV/AIDS
Background: ‘Integrated Counselling and Testing Centre’ (ICTC) to provide services to all clients under one roof. An ICTC is a place where a person is counselled and tested for HIV, of his own free will or as advised by...