Volume : X, Issue : VII, July - 2020

A Simple technique of pneumatic reduction, a study of 162 cases.

Dr Bindu Sudarsanan, Dr Mohan K Abraham, Dr Gokul Raj

Abstract :

Aim: To evaluate the onset and duration, hemodynamic changes, post operative analgesic requirements and sedation when dexmeditomidine is added to intrathecal ropivacaine in lower limb orthopaedic surgeries. Methods: In this randomised, double–blind, case control study, 50 patients about to undergo elective lower limb orthopaedic surgery were randomly allocated into two groups. Group R where 3ml of 0.75% Ropivacaine plus 0.5ml of normal saline was given intrathecally and Group D where 3ml of 0.75% Ropivacaine plus 5µgm of Dexmedetomidine in 0.5 ml of normal saline was given intrathecally. The onset and duration of block, hemodynamic changes, post operative analgesic requirements and sedation were observed. Results were analysed statistically using student’s t test to determine the p value and significance of the observations. Results: In the dexmedetomidine group the onset of sensory block was significantly fast compared to the ropivacaine group (3.52+1.66 minutes vs 5.04+1.43 minutes) with statistically insignificant changes in heart rate, mean arterial pressure and SpO2. The time to two segment regression showed significant variation with the dexmedetomidine group taking 116.4+4.07 minutes for regression compared to 78.8+7.8 minutes by the ropivacaine group. Conclusion: Dexmedetomidine provides fast onset, prolonged duration and stable hemodynamics which make it an effective alternative to other adjuvant agents used with intrathecal ropivacaine.

Keywords :

Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

A SIMPLE TECHNIQUE OF PNEUMATIC REDUCTION, A STUDY OF 162 CASES., Dr Bindu Sudarsanan, Dr Mohan K Abraham, Dr Gokul Raj INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-7 | July-2020

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