COMPARATIVE STUDY OF ANALGESIC EFFECTS IN INTRAVENOUS REGIONAL ANESTHESIA WITH LIDOCAINE Vs LIDOCAINE WITH PARACETAMOL IV

Dr.G.Vishala; Dr.D.V.Ram Siva Naik; Dr.T.Balaji

Volume : V, Issue : V, May - 2015

COMPARATIVE STUDY OF ANALGESIC EFFECTS IN INTRAVENOUS REGIONAL ANESTHESIA WITH LIDOCAINE Vs LIDOCAINE WITH PARACETAMOL IV

Dr. G. Vishala, Dr. D. V. Ram Siva Naik, Dr. T. Balaji

Abstract :

Context: Comparison of Analgeic Effects in Intravenous Regional Anesthesia with Lidocaine Vs Lidocaine with Paracetamol IV. AIM: aim of our study was to compare the Analgeic Effects in Intravenous Regional Anesthesia with Lidocaine Vs Lidocaine with Paracetamol IV Settings and Design: This clinical study was conducted at Government General Hospital, Kurnool. 50 patients of ASA Grade I and II of either sex aged above 18 years, undergoing upper limb (forearm and hand) surgery were randomly assigned to group L & P, each group consisting of 25 patients and surgery was done under Intravenous Regional Anaesthesia. Materials and Methods: Group–L Received lignocaine 0.5% 40 ml Group–LP Received lignocaine 2% 10ml + IV Paracetamol 30 ml. Statistical Analysis Used: Analysis of Variance was used to study the significance of mean of various study parameters between the two groups. Student’s t test was used to compare the two groups on mean values of various parameters. The p–value <0.05 is considered significant. Results: In our study, except Sensory block onset time, Sensory block recovery time, Onset of motor block, motor block recovery time, Intraoperative rescue analgesia, Postoperative analgesia the difference was statistically significant. Conclusion: 1. The time of onset of motor block was significantly lower in Group LP who received 0.5% lidocaine diluted with intravenous acetaminophen 300 mg to a total volume of 40 ml. 2. There was no significant difference in onset of sensory blockbetween the groups. 3. The sensory block recovery time was significantly longer in Group LP than in Group L. 4. The motor block recovery time was also significantly longer in Group LP than in Group L.