A Comparative Study of Addition of Clonidine and Dexmedetomidine to Epidural Ropivacaine in Lower Abdominal and Lower Limb Surgery

Dr Rajeev Kumar Dubey; Dr Alok Kumar Bharti; Dr Ravi Shankar Prasad; Dr Natesh Prabhu R; Dr Ram Badan Singh

Volume : VII, Issue : VIII, August - 2017

A Comparative Study of Addition of Clonidine and Dexmedetomidine to Epidural Ropivacaine in Lower Abdominal and Lower Limb Surgery

Dr Rajeev Kumar Dubey, Dr Alok Kumar Bharti, Dr Ravi Shankar Prasad, Dr Natesh Prabhu R, Dr Ram Badan Singh

Abstract :

The present study was conducted on 150 patients of ASA I and II physical status, of either sex and aged 20–60 years, scheduled for elective lower abdominal and lower limb surgery to compare effects of clonidine and dexmedetomidine as adjuvant to epidural 0.5%ropivacaine on the sensory and motor block characteristics, post–operative analgesia, sedation and adverse effects. The demographic profile of all patients viz. age, sex, body weight, height, ASA grade and duration of surgery did not show any statistical significance (p>0.05). The time of onset of sensory block at T10, time for complete motor block, time to maximum sensory block, time for regression to omage 5, total duration of analgesia and sedation profile were superior in the dexmedetomidine group than in the clonidine group or ropivacaine alone group. To conclude, dexmedetomidine is superior to clonidine as an adjuvant to epidurally administered local anaesthetic