A COMPARATIVE STUDY OF THE EFFECT OF CLONIDINE ADDED TO ROPIVACAINE AND PLAIN ROPIVACAINE IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK

DR TEJAL SHAH; DR SURBHI KAUL; DR YOGESH MORBIYA; DR ABIRAMI

Volume : IX, Issue : IX, September - 2019

A COMPARATIVE STUDY OF THE EFFECT OF CLONIDINE ADDED TO ROPIVACAINE AND PLAIN ROPIVACAINE IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK

Dr Tejal Shah, Dr Surbhi Kaul, Dr Yogesh Morbiya, Dr Abirami

Abstract :

Objectives: Aim of the study was to compare duration of sensory block, motor block, analgesia, haemodynamic parameters, perioperative complications of Ropivacaine with clonidine to plain Ropivacaine in Supraclavicular Plexus block. Methods: Total of 60 patients, aged 15–65 years,ASA I/II scheduled to undergo elective or emergency unilateral upper limb surgery included in prospective randomized controlled study.Preoperative assessment with routine investigation done for all the patients. After taking informed and written consent patients were divided into Group RC and Group RP. Inj.Clonidine added to Ropivacaine in group RC. All patients were premedicated with Inj.Ondansetron 4mg.Inj. Midazolam 2mg given as per need. Supraclavicular plexus block was given using classical Kulenkampff‘s technique.NIBP,pulse rate,Spo2,ecg were monitored till complete recovery. Result: Group RC patients had shorter onset time for both sensory and motor blockade as compared to group RP. Total duration of both sensory and motor blockade was prolonged in Group RC as compared to Group RP. There was no significant difference in haemodynamic parameters in both the groups. No any perioperative complications observed in both the groups. Conclusion: Ropivacaine along with clonidine has faster onset and prolonged duration of both motor and sensory blockade. Ropivacaine with clonidine has good safety profile with minimal hemodynamic disturbances.