COMPARISON OF EFFICACY OF PLAIN LIGNOCAINE WITH LIGNOCAINE AND CLONIDINE IN INTRAVENOUS REGIONAL ANAESTHESIA FOR UPPER LIMB SURGERY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2013, Vol 2, Issue 17
Abstract
[b] INTRODUCTION[/b]: IVRA is a simple, reliable, and effective technique with rapid onset of action, rapid and prompt recovery after tourniquet release. It provides good analgesia, adequate muscle relaxation, & bloodless operative field. It is widely applicable to patients of different ages and physical status for operations & cost effective. Lignocaine though preferred local anesthetic agent has limitation of short duration of anesthesia & inability to provide postoperative analgesia various additives were added to it. In this study we compared efficacy of clonidine as an adjuvant to lignocaine with plain Lignocaine. [b]MATERIAL & METHOD[/b]: Patients undergoing upper arm surgery were included in this study & are divided in two groups. The proximal circulatory isolation of arm was done by placing a pneumatic tourniquet around arm. In group C IVRA was given by 1ug/kg clonidine & 0.5% preservative free lignocaine in a dose of 200mg diluted up to 40 ml & in group L 0.5% preservative free lignocaine 200 mg diluted up to 40 ml. Tourniquet was deflated at least 30 mines after injection of drug. [b]AIMS &[/b] [b]OBJECTIVES[/b]: To compare onset and quality of sensory analgesia, Onset and quality of motor blockade, onset & severity of tourniquet pain, Complications like hypotension &bradycardia during the procedure, recovery from sensory and motor blockade duration of Postoperative analgesia in group C with group L. [b]CONCLUSION[/b]: We observed that using Clonidine in dose of 1 ug/kg as an adjuvant to Lignocaine in IVRA does not have early onset of sensory blockade, increased tourniquet tolerance, delayed tourniquet pain and extended post-operative analgesia .Neither systemic side effects like nausea, bradycardia, hypotension, convulsion nor local complications like hematoma were observed.
Authors and Affiliations
Jyoti Kulkarni, Rashmi Bengali, Suhas Jewalikar
Keywords
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- EP ID EP122651
- DOI 10.14260/jemds/618
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