Study of comparative evaluation of bupivacaine and bupivacaine with dexmedetomidine in subarachnoid block for below umbilical surgeries
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 3, Issue 1
Abstract
Background: Spinal anaesthesia is the most preferred regional anaesthesia technique as it is easy to perform, economical and produces rapid onset of anaesthesia and complete muscle relaxation. Dexmedetomidine, an α2 agonist drug providing stable hemodynamic conditions, good quality of intraoperative and prolonged postoperative analgesia with minimal side effects. Aim and Objective: To compare and evaluate bupivacaine and bupivacaine with dexmedetomidine in subarachnoid block for below umbilical surgeries. Material and Methods: It was prospective, randomized, double blind study conducted at tertiary care centre over a period extending from January 2014 to October 2015. The study included a total of 100 patients divided into two groups (each of 50 patients) i.e. control and study groups depending upon drugs administered. Results: The onset of sensory block as well as time for attaining maximum sensory level was significantly faster (p < 0.05) in study group as compared to control group. Also, regression of sensory block was slower and onset of motor block is quicker in patients those who received intrathecal dexmedetomidine. There was a significant prolonged duration of sensory analgesia among study group. Summary and Conclusions: Use of0.5% hyperbaric Bupivacaine (15mg) with dexmedetomidine (5mcg) in subarachnoid block Leads to significantly quicker onset of Motor and Sensory block also a minimal intraoperative and postoperative complication as compared to 0.5% hyperbaric Bupivacaine
Authors and Affiliations
Nitinkumar Ingle, Pradnya Hingole, Deepak kokane, Satish G Deshpande
Keywords
Related Articles
- EP ID EP260399
- DOI -
- Views 319
- Downloads 0
Effect of spinal anaesthesia on perioperative hyperglycemia in diabetic patients undergoing lower limb orthopaedic surgeries
Background and Aims: Surgery evokes stress response resulting in increased secretion of counter-regulatory hormones (catecholamines, cortisol, glucagon, and growth hormone) and excessive release of inflammatory cytokines...
Low dose hyperbaric bupivacaine and fentanyl for spinal anaesthesia in caesarean section
Background and Aims: Neuraxial administration of opioids with local anaesthetics improves the quality of intraoperative analgesia and also provides postoperative pain relief for longer duration. The purpose of this study...
Comparative study of clonidine and dexmedetomidine as adjuvants to bupivacaine in wound infiltration for postoperative analgesia after abdominal hysterectomy: A prospective randomized study
Background: Wound infiltration with local anesthetics is a simple, effective and inexpensive means of providing good analgesia for a number of surgical procedures without any major side-effects. Aims: To compare the post...
Comparative study of intrathecal dexmedetomidine and intrathecal magnesium sulphate used as adjuvants with hyperbaric bupivacaine in lower abdominal and lower limb surgeries
Background: Subarachnoid block is the most commonly used regional anesthetic technique for lower abdominal and lower limb surgeries. Intrathecal adjuvants have gained popularity with the aim of prolonging the duration an...
Study of intravenous paracetamol and intravenous tramadol for post operative analgesia in infra umbilical surgery
Background: Relief of postoperative pain is a major concern for patients and anaesthesiologists. Postoperative analgesia has traditionally been provided by opioid analgesics. However, recent trend is to use opioid free a...