Comparison of Ropivacaine with Clonodine Versus Ropivacaine alone in Supraclavicular Block: A Randomised Study
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2019, Vol 6, Issue 2
Abstract
Introduction: Ropivacaine is a new local anesthetic agent with minimal cardiovascular toxicity. Various adjuvant have been tried with local anesthetics to prolong post operative analgesia, clonidine is one such drug. The aim of our study was to evaluate the effect of adding clonidine to ropivacaine on brachial plexus block characteristics, post operative analgesia and complications. Materials and methods: A controlled prospective clinical study was carried out among 60 patients of either gender belonging to ASA I and II undergoing upper limb surgeries. Patients were randomly allocated to either of the 2 groups of 30 each. Group- R received: Inj. Ropivacaine 35 ml (0.75%) +Inj. Normal saline 1 ml. Group-RC received Inj. Ropivacaine 35 ml (0.75%) +inj. Clonidine 1 ml (150 µg). Results: The mean time for Onset of the sensory block was 10.06 ± 35.43 minutes in group-R and 11.86 ± 65.21 minutes in group-RC (P<0.05). The mean time for Onset of the motor block was 11.96 minutes in group-R and 13.93 minutes in group-RC (P >0.5). The total duration of sensory block was 10.03 ± 1.1 hours in group R and 13.96 ± 0.69 hours in group RC, the p < 0.01. The total duration of post operative analgesia was 11.62 hours in group R and 14.57 hours in group RC, the p value being < 0.001. Conclusion: Thus we conclude from our study that addition of Clonidine 150 µgm to ropivacaine in supraclavicular brachial plexus block improves post operative analgesia without any side effects.
Authors and Affiliations
Srinivasa R
Keywords
Related Articles
- EP ID EP601345
- DOI 10.21088/ijaa.2349.8471.6219.1
- Views 82
- Downloads 0
Haemodynamic Responses to Laryngoscopy and Intubation in Patients Undergoing Craniotomy: Comparison between Macintosh and Mccoy Laryngoscope Blades, with Monitoring of Entropy
Aim: To compare the haemodynamic responses, during laryngoscopy and intubation, using Macintosh and McCoy blades, in patients of ASA grades I and II, undergoing craniotomy for supratentorial lesions, under general anaest...
Comparison of I-GelTM and LMA ProSealTM as Airway Device for Laparoscopic Hernioplasty
Background and Aims: Supraglottic device can provide adequate ventilation for laparoscopic surgeries. This study was aimed to compare Proseal Laryngeal Mask Airway and IGel as airway device in laparoscopic hernioplasty....
Haemodynamic Effects of LMA Fastrach versus Macintosh Laryngoscope While Intubation in Patients Undergoing Cabg
Coronary artery bypass grafting (CABG) surgery is still the predominant operative procedure for myocardial revascularization. The pressor response to intubation is a detrimental factor in these patients, where stable hem...
Comparative Study of Intravenous Ondansetron and Dexamethasone for Amelioration of Postoperative Nausea and Vomiting After Laparoscopic Cholecystectomy
Background: Postoperative nausea and vomiting (PONV) is considered most unpleasant experience by the patients in postoperative period. In particular, following laparoscopic procedures the incidence of PONV is very high....
Efficacy of Nitroglycerine and Dexamethasone with Lignocaine in Bier’s Block for Upper Limb Surgery
This study was done to evaluate the efficacy of nitroglycerine and dexamethasone as adjuncts to lignocaine in the terms of onset, duration, quality and efficacy of IVRA (Bier’s block). This study was done on randomly sel...