Volume : VII, Issue : XI, November - 2017

COMPARATIVE EVALUATION OF ADDING CLONIDINE V/S DEXMEDETOMIDINE DURING BIER’S BLOCK

Dr. Sanjay P. Gadre, Dr. Uzma Gulzar

Abstract :

 Bier’s block is an ideal technique for short operative procedures of anticipated duration of

60–90 minutes on extremities, performed on day care basis. Bier’s block or intravenous regional anaesthesia (IVRA) is technically simple and reliable, with success rates between 97–98%.

Moreover the cost of anaesthesia and recovery using IVRA for outpatient hand surgery is less than general anaesthesia and also it is more effective in speeding recovery and minimising postoperative complications. Biers block was first described by August K. G. Bierin 1908 by

injecting a solution of Prilocaine into one of the subcutaneous veins that were exposed between two constricting bands. This technique was not widely used until Holmes reintroduced the technique with lignocaine in 1963. Lignocaine remains the standard local anaesthetic agent in many countries. Advancements in the field of IVRA have been primarily aimed at reducing the tourniquet pain, increasing tourniquet tolerance, improving the overall quality of intra–operative and post–operative analgesia and reducing the drug related adverse effects.  Local anaesthetics alone are not able to bestow all such attributes to the bier’s block solution, hence a multitude of adjuncts have been used. Several local anaesthetics adjuncts that have been used are, opioids like fentanyl , pethidine , tramadol , NSAIDs like ketorolac , acetylsalicylate , lornoxicaine; and muscle relaxant e.g. atracurium , neostigmine , and ketamine. Lately magnesium have also been tried. However none of them have proved to be ideal.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Sanjay P. Gadre, Dr. Uzma Gulzar, COMPARATIVE EVALUATION OF ADDING CLONIDINE V/S DEXMEDETOMIDINE DURING BIER¥S BLOCK, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-11 | November-2017


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