Volume : 7, Issue : 4, April - 2018

A COMPARATIVE STUDY TO EVALUATE THE EFFECT OF DEXMEDETOMIDINE AND NORMAL SALINE AS AN ADJUVANT TO 0.5% ROPIVACAINE ON SENSORY, MOTOR AND POSTOPERATIVE ANALGESIA IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCKADE

Dr. Ashish Mathur, Dr. Lal Praveen Singh

Abstract :

<p class="MsoNormal" style="text-align:justify;line-height:115%"><span style="color:black;text-transform:uppercase;mso-bidi-font-weight:bold">AIMS AND OBJECTIVES<b>: </b></span><span style="color:black;mso-bidi-language:HI">To evaluate and compare the onset and duration of sensory and motor blockade and efficacy in prolonging postoperative analgesia<span style="mso-spacerun:yes">&nbsp; </span>of 0.5% ropivacaine with dexmedetomidine in supraclavicular achial plexus blockade and to observe undesirable effects and complications of drug used. </span><span style="color:black">MATERIAL AND METHOD: 60<span style="mso-spacerun:yes">&nbsp; </span>patients ASA grade I &amp; II undergoing elective upper limb surgery under supraclavicular achial plexus blockade . Patients were classified randomly into 2 groups (thirty patients in each group). </span><span style="color:black;mso-bidi-language:HI">Group R<span style="mso-spacerun:yes">&nbsp; </span>patients received 30 ml of 0.5% ropivacaine with 0.5 ml normal saline and Group RD<span style="mso-spacerun:yes">&nbsp; </span>patients received 30 ml of 0.5% ropivacaine with 50 &micro;g (0.5 ml)dexmedetomidine hydrochloride</span><b><span style="color:black"> . </span></b><span style="color:black">And we </span><span style="color:black;mso-bidi-language:&#10;HI">compare the onset and duration of sensory and motor blockade and efficacy in prolonging postoperative analgesia<span style="mso-spacerun:yes">&nbsp; </span>of 0.5% ropivacaine with dexmedetomidine in supraclavicular achial plexus blockade and to observe undesirable effects and complications of drug used, if any. </span><span style="color:black"><span style="mso-spacerun:yes">&nbsp;</span>RESULT: Analysis revealed that there were no significant differences between the patients with respect to age, sex, weight and duration and type of surgery. Onset of sensory and motor block<span style="mso-spacerun:yes">&nbsp; </span>fasten <span style="mso-spacerun:yes">&nbsp;</span>in RD group and duration of sensory and motor block is more prolong in RD group as compare to R group . time of rescue analgesia was more in group RD as compare to group R. There were no complication in both the groups. CONCLUSION: Dexmedetomidine when added to ropivacaine fastens the onset of<span style="mso-spacerun:yes">&nbsp; </span>sensory and motor blockade , prolongs the duration of sensory and motor blockade and prolonged the time for rescue analgesia without any side effect.<b><u><span style="text-transform:uppercase"><o:p></o:p></span></u></b></span></p>