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
Related Articles
- EP ID EP122651
- DOI 10.14260/jemds/618
- Views 82
- Downloads 0
EFFECTIVENESS OF SELF-EXPANDING METALLIC STENTS IN THE PALLIATION OF ABSOLUTE DYSPHAGIA IN CARCINOMA OESOPHAGUS- A 1-YEAR FOLLOW-UP STUDY
BACKGROUND Palliation of dysphagia is the primary goal in the care of inoperable oesophageal carcinoma and the usual option is palliative chemoradiotherapy. But radiation induced complications made chemoradiation a less...
ROLE OF COMPUTED TOMOGRAPHY AND 3D RECONSTRUCTIONS IN PELVIC RIM AND ACETABULAR FRACTURES
To determine the role of computed tomography and 3D Reconstructions in classification of pelvic rim and acetabular fractures and assessing possible changes in fracture classification. We collected retrospectiv...
A STUDY OF SMOKING BEHAVIOUR AMONG MALES WITH SCHIZOPHRENIA
BACKGROUND Nicotine dependence is the commonest substance use disorder among individuals with schizophrenia. The common co-occurrence of nicotine use and schizophrenia is a manifestation of shared underlying neurobiology...
RENAL BIOPSY ANALYSIS OF YOUNG PATIENTS WITH MEDICAL RENAL DISEASE IN A TERTIARY CARE CENTRE HOSPITAL
BACKGROUND Renal diseases are commonly diagnosed and managed as per syndromic approach depending on clinical and laboratory findings. But recent usefulness of USG-guided percutaneous renal biopsy has made it possible to...
STUDY OF DENGUE INFECTION IN RURAL RAJASTHAN
[b]BACKGROUND[/b]: Dengue has a wide spectrum of clinical presentation in paediatric population, often with unpredictable evolution and outcome. AIMS: To record the clinical, laboratory & radiological prof...