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

Comparison of intramuscular atropine and glcopyrrolate in children undergoing various surgical procedures under general anaesthesia

Background: Antiocholinergic premedication in paediatric patients undergoing surgeris under general anaesthesia plays in important role in blocking the potentially dangerous vagal reflexes and in also controlling the oro...

Evaluation of the accuracy of finger-tip palpation of pilot balloon as amethod to judge endo tracheal tube cuff pressure

Aims and Objectives- To check the reliability of finger tip palpation of pilot balloon to judge the ETT cuff Pressure, to record the volume required to achieve the ETT cuff pressure of 25 cm H2O. Material and Methods- To...

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...

Significance of lactate and its clearance within 6 hours of admission in children with sepsis and septic shock admitted to PICU

Aims and Objective: To measure the serum lactate levels in patient with sepsis and septic shock. To determine and correlate lactate clearance within 6 hours of admission with sepsis and septic shock, with PICU mortality....

Role of oral clonidine premedication for decreasing intra-operative bleeding with respect to scoring system at tertiary health care centre

Background: Functional Endoscopic Sinus Surgery (FESS) is gaining popularity over past two decades as it is helpful in restoring the drainage and aeration of paranasal sinuses, while maintaining the natural mucociliary c...

Download PDF file
  • EP ID EP260399
  • DOI -
  • Views 178
  • Downloads 0

How To Cite

Nitinkumar Ingle, Pradnya Hingole, Deepak kokane, Satish G Deshpande (2017). Study of comparative evaluation of bupivacaine and bupivacaine with dexmedetomidine in subarachnoid block for below umbilical surgeries. Medpulse International Journal of Anesthesiology, 3(1), 1-4. https://europub.co.uk/articles/-A-260399