Volume : 7, Issue : 7, July - 2018

Brachial Plexus bock with bupivacaine: Effects of added alpha adrenergic agonist clonidine & comparison with Epinephrine. A randomised control study

Dr Apurv Mahalle, Dr Dhiraj Bhandari, Dr Himanshu Dongre, Dr Sucheta Tidke

Abstract :

<p>&nbsp;Supraclavicular achial plexus block is one of the most commonly employed regional anesthesia technique &amp; is</p> <div>often described as &ldquo;Spinal anesthesia of Upper limb&rdquo;. Bupivacaine is one of the commonly used local anesthetic</div> <div>used for plexus anesthesia as it has long duration of action, however many additives have been tried in various studies in the search to</div> <div>decrease the latency of its onset of neural blockade as well as to increase its duration of analgesia, thereby improving the efficacy of</div> <div>peripheral neural blocks. We therefore studied the effect of clonidine 150 micrograms when added as an adjunct to bupivacaine for</div> <div>supraclavicular achial plexus block in comparison with Bupivacaine combined with Epinephrine and Bupivacaine alone, in a rural tertiary</div> <div>care medical institute. We found that addition of clonidine provides rapid onset of anesthesia along with prolonged sensory, motor</div> <div>blockade and prolonged duration of analgesia without any signi􀃶cant side effects as compared to 2.025% bupivacaine with epinephrine or</div> <div>0.25% Bupivacaine alone.</div>