USE OF DEXMEDETOMIDINE AS AN ADJUVANT TO 0.5% HYPERBARIC BUPIVACAINE IN SUBARACHNOID BLOCK
Journal Title: IJSR-International Journal Of Scientific Research - Year 2019, Vol 8, Issue 11
Abstract
The present study aimed at clinical evalution of dexmedetomidine 10 microgm, as an adjuvant to heavy bupivacaine 0.5% (4 ml) in subarachnoid block in patients scheduled for lower abdominal surgeries. Total no. of patients included in the study are 66 who are admitted in orthopaedic ward for lower limb surgeries, who are of ASA grade I & II and age group between 18-60yrs. All the routine investigations of the patients were done and after complete PAC and preoperative preparations, patients were taken into O.T, all the standard monitoring applied and for subarachnoid block hyperbaric Bupivacaine 0.5% is a dose of 4ml (20mg) combined with or without Dexmedetomidine was administrated according to the assigned study group: 1.Group A- Inj. Bupivacaine- 20mg alone- control group 2.Group B- Inj. Bupivacaine- 20mg with Dexmedetomidine 10mcg-study group Data on onset & offset of sensory & motor block, degree of muscle relaxation, postoperative pain free period were recorded. Dermatome level of block, vitals & drug related complications were also noted. On the basis of observations, following conclusions are drawn: Rapid onset & increased duration of sensory block was seen in Grp B, Onset of motor block & post operative pain free period was prolonged in Grp. B. Sedation score was from 0-2 in study group.Other complications in study group were not significant.
Authors and Affiliations
Dr. Dhananjay Yadav, Dr. Suman Minocha*, Dr. Anamika Mishra, Dr. deepak Joshi
A STUDY OF ANTHROPROMETRIC PARAMETERS OF ANTERIOR BORDER OF 100 HUMAN HIP BONES OF NORTH INDIAN REGION
hip bone is a large irregular innominate bone which is useful in determining the sex of an unknown individual because of the morphology and its differences in shape in males and females. Present study was aimed to study...
SPECTRUM OF ANTIMICROBIAL SENSITIVITY TO ACINETOBACTER SPECIES IN SPUTUM IN A TERTIARY MEDICAL CARE CENTRE IN KOLKATA, WEST BENGAL, 7 YEARS EXPERIENCE
Aims and objectives: Acinetobacter, gram-negative non-motile bacilli 1st isolated from soil responsible for nosocomial and opportunistic infection in hospital demonstrates multidrug resistance for last 2 decades due to i...
A CLINICAL STUDY ON PRIMARY PARAPHARYNGEAL SPACE TUMOUR
INTRODUCTION: Parapharyngeal space tumours are uncommon in head neck region. They are situated in a deep and complicated potential neck space. Mainstay of management remains surgical excision, though it is very difficult...
A STUDY OF ETIOLOGY, ONSET AND TYPE OF NEONATAL SEIZURES
Introduction: A seizure or convulsion is a paroxysmal, time-limited change in motor activity and/or behaviour that results from abnormal electrical activity in the brain. Neonatal seizures are abnormal electrical dischar...
BAYESIAN MULTIVARIATE CONDITIONAL AUTOREGRESSIVE MODEL FOR TUBERCULOSIS AND HIV IN INDIA
Background: Multivariate disease mapping is a collection of two or more disease, each corresponding to the same geographic region, in orders to know information from the joint distribution of disease. This joint model gi...