Comparison of the effect of adding Dexmedetomidine and Magnesium Sulphate to Hyperbaric Bupivacaine in lower abdominal and lower limb surgeries
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Spinal anaesthesia is a safe, inexpensive, commonly performed anaesthetic technique for lower abdominal and lower limb surgeries. It is rapid in onset and provides good analgesia both intraoperatively and post-operatively. Spinal anaesthesia can be performed with a wide range of local anaesthetic drugs. Spinal anaesthesia using only local anaesthetics is associated with relatively short duration of action. Postoperative pain control is major problem with spinal anaesthesia using only local anaesthetics alone and thus early analgesic intervention is needed in the postoperative period. A number of adjuvants such as clonidine, opioids, dexmedetomidine, magnesium sulphate etc. have been studied to prolong the effect of spinal anaesthesia. Various studies showed addition of dexmedetomidine, magnesium sulphate, as adjuvants improves the quality of the block. Till date there are only few studies done to compare the effects of addition of 10 micrograms of dexmedetomidine to 15 mg of hyperbaric bupivacaine and 50 milligrams of magnesium sulphate to 15 mg of hyperbaric bupivacaine. This study is designed to compare the effect of adding dexmedetomidine and magnesium sulphate to hyperbaric bupivacaine in lower abdominal and lower limb surgeries in total of 60 adult patients aged between 20-60 years undergoing lower abdominal and lower limb surgeries.
Authors and Affiliations
Dr. V. Prem Swarup, Dr. P. Kamala Subhashini, Dr. A. Jadeeswara Rao, Dr. Chandrakala Kambar
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