A RANDOMIZED CONTROLLED TRIAL OF PRE ADMINISTRATION OF LOW DOSE KETAMINE IN REDUCING TOURNIQUET INDUCED PAIN IN UPPER LIMB BLOCKS.

DR. BHASKAR NARAYAN PATHAK; DR. ANUPANANDA CHOWDHURY

Volume : X, Issue : II, February - 2020

A RANDOMIZED CONTROLLED TRIAL OF PRE ADMINISTRATION OF LOW DOSE KETAMINE IN REDUCING TOURNIQUET INDUCED PAIN IN UPPER LIMB BLOCKS.

Dr. Bhaskar Narayan Pathak, Dr. Anupananda Chowdhury

Abstract :

THIS STUDY INVESTIGATED THE EFFECT OF PRE–OPERATIVE LOW DOSE OF I.V KETAMINE ON TOURNIQUET INDUCED PAIN AND HEAMODYNAMIC CHANGES AFTER BRACHIAL PLEXUS BLOCK. JUST BEFORE APPLICATION OF TOURNIQUET 0.25MG/KG I.V KETAMINE ( KETAMINE GROUP N=40) DILUTED TO 5ML AND CONTROL GROUP N=38 5ML WERE ADMINISTERED. SYSTOLIC, DIASTOLIC BLOOD PRESSURE AND HEART RATE RELATIVE TO TOURNIQUET INFLATION AND DEFLATION WERE RECORDED AND COMPARED BETWEEN THE TWO GROUPS. SYSTOLIC, DIASTOLIC AND MEAN BLOOD PRESSURE INCREASES SIGNIFICANTLY AFTER 30 MINUTES OF TOURNIQUET INFLATION IN CONTROL GROUP AS COMPARED TO KETAMINE GROUP.SO, WE CONCLUDE THAT PRE OPERATIVE LOW DOSE 0.25MG/KG OF I.V KETAMINE CAN PREVENT A SYSTEMIC ARTERIAL PRESSURE INCREASE AFTER TOURNIQUET INFLATION UNDER SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK.