Volume : VII, Issue : I, January - 2017

CLONIDINE AS AN ADDITIVE TO BUPIVACAINE FOR SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK

Dr S. D. Yennawar, Dr Anand P Satkar

Abstract :

 Introduction

 Supraclavicular achial plexus block was given by using inj bupivacaine either alone or in combination with inj Clonidine. Clonidine has been selected as an adjuvant to bupivacaine because it has been reported to prolong the duration of action of local anaesthetics.

Aims and objectives

To observe the effect of addition of Clonidine to bupivacaine on                                          Onset of analgesia                                                                                                                             Onset of motor block                                                                                                                           Duration of analgesia and motor blockade                                                                                        Side effects

 

Materials and methods

40  patients with ASA grade 1 and 2, in age group 18 to 60 years,  are grouped into two.

Group 1 (cases) – received 0.375% bupivacaine (25ml)  plus 30 mcg clonidine

Group 2 (control) – received 0.375% bupivacaine (25ml) .

RESULTS :

mean onset of sensory block in grp 1 in mins 4.25 +/– 1.6                                                        mean onset of sensory block in grp 2 in mins 8.4 +/– 1.86                                                       mean onset of motor block in grp 1 in mins 8.3 +/– 4.8                                                                 mean onset of motor block in grp 2 in mins 16.8 +/– 4.16                                                        mean duration of analgesia in grp 1 in mins 822 +/– 64.6                                                         mean duration of analgesia in grp 2 in mins 300 +/– 32.81                                                       mean duration of motor block in grp 1 in mins 350.6 +/– 40                                                       mean duration of motor block in grp 2 in mins 160.8 +/–25.22

DISCUSSION:

Mean age in grp 1 and grp 2 was 30 +/– 13.14 years and 29.60 +/– 14.54years respctively. Mean wt in grp 1 and grp 2 was 56.50 +/– 8.642kg and 57.12 +/– 7.86kg respectively.              Mean ht in grp 1 and grp 2 was 165.5 +/– 5.77 cm and 166.6 +/– 4.480cm respectively. Duration of surgery in grp 1 and grp 2 was 154.4 +/– 28.30minand 156.4 +/– 30.65min respectively.                                                                                                                                        Group 1 contain 11 male and 9 females, group 2 contains 10 male and 10 females

 CONCLUSION:

 Addition of clonidine to bupivacaine in achial plexus block significantly prolongs the duration of analgesia and motor block in patients undergoing upper limb surgeries and is remarkably safe and cost effective method of  providing post operative analgesia.

 

 

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr S. D. Yennawar, Dr Anand P Satkar, CLONIDINE AS AN ADDITIVE TO BUPIVACAINE FOR SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK, Indian Journal of Applied Research,Volume : 7 | Issue : 1 | JANUARY 2017

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