MIDAZOLAM AS AN ADJUVANT TO BUPIVACAINE IN SUPRACLAVICULAR APPROACH OF BRACHIAL PLEXUS BLOCK
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 61
Abstract
BACKGROUND Brachial plexus block in supraclavicular approach is a very good postoperative analgesia. Midazolam, a water-soluble benzodiazepine has been used by various routes to prolong analgesia. The analgesic efficacy of midazolam with bupivacaine in brachial plexus block produces significantly faster onset of sensory and motor blockade and prolongs the duration of sensory and motor block and duration of analgesia. The aim of this study is to compare the effectiveness of addition of midazolam as an adjuvant to bupivacaine in supraclavicular approach of brachial plexus block in upper limb surgery. MATERIALS AND METHODS 60 patients were recruited to two groups. Group B received 30 mL of 0.375% Bupivacaine and Group BM received 30 mL of 0.375% Bupivacaine and 50 mcg/kg of Midazolam. RESULTS On addition of midazolam to bupivacaine, there was significant difference in onset of sensory and motor block compared to bupivacaine. There is prolongation in duration of analgesia, duration of sensory and motor blockade. There is no significant difference in haemodynamics and no side effects like hypotension, bradycardia or respiratory depression. CONCLUSION The addition of midazolam to LA solution in supraclavicular approach to brachial plexus block produces significantly faster onset of sensory and motor blockade and prolongs the duration of sensory and motor block and duration of analgesia.
Authors and Affiliations
Sakuntala Muniyandi, Bala Subramani Murugesan, Chithra Devi Ramakrishnan
Keywords
Related Articles
- EP ID EP227074
- DOI 10.14260/Jemds/2017/963
- Views 91
- Downloads 0
OCULAR BIOMETRY IN PRIMARY ANGLE CLOSURE GLAUCOMA
OBJECTIVE To compare the ocular biometric values. Anterior chamber depth, axial length of normal subjects and primary angle closure glaucoma subjects. MATERIALS AND METHODS A prospective case control study of...
TREATMENT OF FRACTURE SHAFT FEMUR IN PAEDIATRIC AGE GROUP WITH TITANIUM ELASTIC NAIL
BACKGROUND In this era of speed, management of fracture of shaft femur in paediatric age group have changed from conservative to operative. This reduced the chance of malunion, rotation and angulation along with allow ea...
COMPARISON OF OUTCOMES BETWEEN THE LICHTENSTEIN AND BASSINI METHODS IN INGUINAL HERNIA- A RANDOMISED CONTROLLED TRIAL
BACKGROUND Inguinal hernia is one of the most common causes of abdominal surgery, especially in males. For repairing this kind of hernia, there are laparoscopic and open surgical methods. Open surgery may be done through...
CORRELATION OF OBESITY, INSULIN RESISTANCE AND LIPID PROFILE IN WOMEN WITH PCOS IN KIMS HOSPITAL BANGALORE
[b]BACKGROUND[/b]: Polycystic ovary syndrome is a condition associated with chronic anovulation, insulin resistance and androgen excess. Dyslipidemia, diabetes, obesity are all potent cardiovascular risk factor...
A RARE CASE OF VASCULAR HAMARTOMA OF NASAL CAVITY
Sinonasal tract is complex anatomical site with a large list of possible diagnoses. Most common ones being sinonasal polyposis and papillomas. Occasionally there may be mass lesions that are difficult to concl...