Haemodynamic changes with lower dose of Hyperbaric Bupivacaine with Dexmeditomedine and Conventional dose of Hyperbaric Bupivacaine for Subarachnoid Block in Lower Limb Surgeries (Orthopaedic Cases)
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 6
Abstract
Background and Aims: It is universally agreed that the anaesthesia of choice for lower limb surgeries is a subarachnoid block and a sensory level of T – 10 is recommended to provide excellent anaesthesia for the patient. It is well established that opioids has got a prominent analgesic action at the spinal cord level and it can be used safely for subarachnoid block. If you can add a α-2 adrenoreceptor agonist like Dexmeditomedine to hyperbaric bupivacaine (the standard drug used for sub arachnoid block) and thus reduce the dose of bupivacaine used, without compromising on the analgesic effect and haemodynamic changes. Aim of the study: Primary aim: To measure the Haemodynamic changes like Blood Pressure and Pulse rateby adding dexmeditomedine to lower dose Hyperbaric bupivacaineand Hyperbaric bupivacaine alone. Secondary aim: Compare the side effects like nausea, vomiting, sedation, shivering and pruritis. Methods: This study was prospective, randomized, comparative study double blind in nature and conducted after obtaining institutional Ethics Committee approval and written informed consent. The person giving the drug and the monitoring personnel were blinded 60 adult patients of ASA grade I and II aged between 20 – 50 year. Undergoing various elective lower limb (Orthopaedics) surgeries. Results: Dexmeditomedine in a dose of 5µg was used for supplementation spinal Bupivacaine, showed that Haemodynamic changes like blood pressure and pulse rate is more on the bupivacaine group than dexmeditomedine group. Conclusion: 5 µg Dexmeditomedineto 2cc of hyperbaric Bupivacaine 0.5% is associated with lessor incidence of Hypotension and less Bradycardia compare to bupivacaine group had more incidence of hypotension and bradycardia
Authors and Affiliations
Dr Ajith Kumar G
Morbidity Profile among Women Beedi Workers in the Urban Slum of Kurnool Town, Andhra Pradesh
Background: Rolling Beedi is an indigenous method of making smokable tobacco using tobacco leaves that provided employment for millions of Indians. Beedi rolling is mostly made by women and girls sitting at home and is r...
Anaesthetic Management in a Congenital Catharact Patient with Down Syndrome
We have reported a case of down’s syndrome with congenital catharact on both eyes in 5 month old male. He was admitted to Comprehensive Ophthalmology Sumatera Eye Center reporting a progressive decrease in vision and wor...
FNAC: A Diagnostic Tool in Head and Neck Lesions - Study of 204 Cases
FNAC is a simple, quick, age old procedure. It is safe technique with minimal trauma and complications. In the present study 207 cases are analysed in the two years period. In this study lymph node aspirates more common...
Epidemiology and Clinical Presentations of Abdominal Tuberculosis
Background: Tuberculosis is one of the commonest communicable diseases to mankind. It has significant morbidity in India. Abdominal tuberculosis is difficult to diagnose and we should have high index of suspicion to diag...
Frequency of Pulmonary Tuberculosis in Smear Negative Patients with Suggestive Radiological Lesions in a Tertiary Care Centre
Introduction: Tuberculosis is an infectious disease caused by mycobacterium tuberculosis, which may affect the lung, but it can also affect other part of the body. 50% of the patient will be smear positive and easy to di...