Volume : VII, Issue : II, February - 2017

EFFECT OF CLONIDINE AS AN ADJUVANT IN SUPRACLAVICULAR BLOCK FOR UPPER LIMB SURGERIES.

Dr. Manisha S. Kapdi, Dr. Manisha Thakkar

Abstract :

 Background and aims–achial plexus block is widely used as a regional anaesthesia technique for upper limb surgery. Various adjuvants have been studied to prolong the effect of block. This study is done to evaluate the effect of clonidine as an adjuvant to local anaesthetic mixture in supraclavicular achial plexus block.

Methods– After institutional approval and informed consent, a comparative study of 50 patients (ASA  Grade I/II) scheduled for various surgeries of upperlimb, either planned or emergency, under supraclavicular achial plexus block. Patients were randomly divided into two groups of 25 each .Group A patients received 30ml lignocaine adrenaline 1.5%, 10ml 0.5% bupivacaine with 1ml normal saline and Group B patients received clonidine 150 µg (1ml) along with the local anesthetic agents in achial plexus block. We analysed  onset and duration of sensory and motor blockade, duration of post operative analgesia, any adverse reaction among patients.

Results–Onset of sensory block in group A and group B are 12.72±1.33 min and 11.32±0.85 min respectively. Onset of motor block in group A and group B are 6.48±0.82 min and 5.98±0.89 min respectively. The difference among both groups are statistically significant with P<0.001. Duration of motor block in group A and group B is 3.68±0.33 hrs and 7.15±0.53 hrs respectively.  Duration of sensory block in group A and group B is 4.59±0.32 hrs and 9.61±1.63hrs respectively. The difference among both groups are statistically significant with P<0.001. The requirement of first post operative analgesia in group A is after 5.62±0.358 hrs and in group B is after 11.85±1.54 hrs which is statistically significant.

Conclusion– Clonidine in the dose of 150µg provides rapid onset , prolonged duration of block and excellent post operative analgesia.

 

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr. Manisha S. Kapdi, Dr. Manisha Thakkar, EFFECT OF CLONIDINE AS AN ADJUVANT IN SUPRACLAVICULAR BLOCK FOR UPPER LIMB SURGERIES., INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾2 | February‾2017


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