1. COMPARISON OF TWO DOSES OF DEXMEDETOMIDINE GIVEN AS ADJUVANT TO 0.5% ROPIVACAINE IN ULTRASOUND GUIDED BRACHIAL PLEXUS BLOCK IN UPPER LIMB SURGERIES.
- Author
-
Kumar, Pradeep, Ahmad, Sarfaraz, Rahat, Asma, Sayeedurrehman, and Agrawal, Malti
- Subjects
- *
BRACHIAL plexus block , *ROPIVACAINE , *DEXMEDETOMIDINE , *ULTRASONIC imaging , *DISTILLED water , *POSTOPERATIVE pain - Abstract
BACKGROUND: The ultrasound guided brachial plexus block is a precise technique of providing anaesthesia & post op analgesia in surgical procedures involving upper limb. This study was conducted to compare two doses of dexmedetomidine given as adjuvant to 0.5% ropivacaine in ultrasound guided brachial plexus block in upper limb surgeries. METHODS : This was a randomised control trial carried out in 60 patients, 18-60 years of age of both sexes posted for upper limb surgeries . Patients were randomly divided into two groups of 30 patients each. Group A received 0.5% Ropivacaine 25 mL plus 30 micrograms dexmedetomedine (0.3 mL) plus 4.7 mL distilled water and Group B received 0.5% Ropivacaine 25 mL plus 50 micrograms (0.5 mL) dexmedetomedine plus 4.5 mL distilled water. Patients were assesed for onset and duration of sensory and motor block, time of rescue analgesia, hemodynamic responses and complications or any side effects. RESULT : Onset of sensory and motor block in Group A was 10.07 ± 0.69 mins and 14.23 ± 0.77 mins respectively while in Group B was 7.47 ± 0.63 mins and 10.0 ± 0.83 mins respectively. Mean duration of sensory block in Group A was 654.40 ± 28.42 mins and in Group B was 942.0 ± 54.32 mins while mean duration of motor block in Group A was 537.03 ± 27.07 mins and Group B was 798.67 ± 67.84 mins. CONCLUSION : We concluded that, 50 micrograms of dexmedetomedine when compared with 30 micrograms of dexmedetomedine with 0.5% ropivacaine produced early onset of both sensory and motor block, longer duration of sensory and motor block and longer postoperative pain relief. [ABSTRACT FROM AUTHOR]
- Published
- 2024