COMPARING THE EFFICACY OF DEXMEDETOMIDINE AND CLONIDINE WITH 0.75% ROPIVACAINE BY EPIDURAL ROUTE IN PATIENTS UNDERGOING LOWER ABDOMINAL SURGERIES

Dr. P. V. Phaneendra Babu; Dr. Salin Kumar Adusumilli; Dr. P. Prabhakar; Dr. R. Venkatesh

Volume : IX, Issue : VI, June - 2019

COMPARING THE EFFICACY OF DEXMEDETOMIDINE AND CLONIDINE WITH 0.75% ROPIVACAINE BY EPIDURAL ROUTE IN PATIENTS UNDERGOING LOWER ABDOMINAL SURGERIES

Dr. P. V. Phaneendra Babu, Dr. Salin Kumar Adusumilli, Dr. P. Prabhakar, Dr. R. Venkatesh

Abstract :

BACKGROUND– A clinical study was undertaken in 50 patients belonging to ASA 1 and 2 scheduled for lower abdominal surgeries to evaluate the efficacy of dexmedetomidine with 0.75%ropivacaine compared to clonidine with 0.75% ropivacaine by epidural route to compare sensory and motor block in view of onset, analgesia , duration and hemodynamic changes. METHODOLOGY– They are randomly allocated into 2 groups RD and RC,25 members each to compare effectiveness of 0.75%ropivacaine with clonidine and dexmeditomidine. In Group RC 25 patients received epidural 0.75% Ropivacaine 20 ml with clonidine(2µg/kg). In Group RD, 25 patients received epidural 0.75% ropivacaine 20ml with dexmeditomidine(1.5µg/kg). RESULT: The onset of sensory blockade was faster in Group RD than compared to Group RC. Duration of sensory block and analgesia was significantly prolonged in Group RD. Haemodynamic parameters were comparatively more stable in Group RD. CONCLUSION: Dexmeditomidine 1.5µg/kg with 0.75% ropivacaine when given intrathecally hastened sensory onset and improved the quality of analgesia in the early postoperative period.