A COMPARATIVE STUDY TO EVALUATE THE EFFECT OF MAGNESIUM SULPHATE 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

Volume : VII, Issue : IV, April - 2018

A COMPARATIVE STUDY TO EVALUATE THE EFFECT OF MAGNESIUM SULPHATE 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 :

AIMS AND OBJECTIVES: To evaluate and compare the onset and duration of sensory and motor blockade and efficacy in prolonging postoperative analgesia of 0.5% ropivacaine with Magnesium sulphate in supraclavicular achial plexus blockade and to observe undesirable effects and complications of drug used. MATERIAL AND METHOD: 60 patients ASA grade I & II undergoing elective upper limb surgery under supraclavicular achial plexus blockade . Patients were classified randomly into 2 groups (thirty patients in each group). Group R patients received 30 ml of 0.5% ropivacaine with 0.5 ml normal saline and Group RM patients received 30 ml of 0.5% ropivacaine with 250 mg (0.5 ml) Magnesium sulphate . And we compare the onset and duration of sensory and motor blockade and efficacy in prolonging postoperative analgesia of 0.5% ropivacaine with Magnesium sulphate in supraclavicular achial plexus blockade and to observe undesirable effects and complications of drug used, if any. 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 fasten in RM group and duration of sensory and motor block is more prolong in RM group as compare to R group . Time of rescue analgesia was more in group RM as compare to group R. There was no complication in both the groups. CONCLUSION: Magnesium sulphate when added to ropivacaine fastens the onset of sensory and motor blockade , prolongs the duration of sensory and motor blockade and prolonged the time for rescue analgesia without any side effect.