Dexmedetomidine as an Adjuvant to Ropivacaine in Ultrasound Guided Brachial Plexus Block Using Supraclavicular Parasagittal Approach for Upper Limb Orthopedic Surgeries

Autor: Mahima K Balakrishnaiah, Karthik G Sheshadri, Sudheer Ramegowda, Shivasharn K Hosalli, Kishore Kumar, Sharieff Sameer Ahmed
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Archives of Anesthesia and Critical Care, Vol 8, Iss 3 (2022)
Druh dokumentu: article
ISSN: 2423-5849
DOI: 10.18502/aacc.v8i3.9616
Popis: Background: Brachial plexus block is a key technique in anesthesiologist’s practice. Ropivacaine is a long acting local anaesthetic, Dexmedetomidine has been included as an adjuvant to enhance block duration. Aim: To elucidate the effect of addition of Dexmedetomidine to Ropivacaine in ultrasound guided parasagittal supraclavicular brachial plexus approach with respect to duration of analgesia, onset and duration of sensorimotor blockade. Methods: A randomized single blinded prospective clinical study was conducted among Forty patients of 20-50yrs, ASA Grade I and II, weighing >60kgs scheduled for elective upper limb orthopedic surgeries. Group RN received 25ml of 0.75% ropivacaine with 1ml normal saline, Group RD received 25ml of 0.75% ropivacaine with 1mcg/kg dexmedetomidine diluted to 1ml. Analgesic efficacy, sensorimotor blockade was determined. Statistical Analysis: Demographic and hemodynamic data was analyzed using student t-test. Unpaired t-test was used to analyze onset, duration of sensorimotor blockade and analgesic duration. Results were statistically significant if p-value
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