Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
Indian Journal of Anesthesia and Analgesia

Volume  5, Issue 8, August 2018, Pages 1350-1353
 

Original Article

Comparative Study of Clonidine and Dexmedetomidine as an Adjuvant to LA for USG Guided Supraclavicular Brachial Plexus Block (SBB)

Manisha Kapdi1, Shruti Desai2

1Associate Professor 2Resident, Department of Anaesthesia, Smt. NHL Municipal Medical College, VSGH, Ahmedabad, Gujarat 380006, India.

Choose an option to locate / access this Article:
90 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.5818.16

Abstract

Background and aims: SBB is the widely used excellent regional anaesthetic technique for upperlimb surgeries. Various LA agents are used for it. They have specific actions regarding time. Various novel adjuvants are used for prolonged sensory and motor blockage. We used 2 alpha agonists clonidine and dexmedetomidine for? Use of ultrasound becamepopular worldwide because we can give block to the site and dose and volume of the drug can be decreased so better blockage achieved with less adverse effects.

Material and Methods: 60 ASA grade I/II adult patients of upperlimb surgery were randomly allocated into 2 groups. 
Group C – 20 ml of 0.5% bupivacaine + 1 ug/kg clonidine
Group D –20 ml of 0.5% bupivacaine + 1 ug/kg dexmedetomidine

Results: Onset of sensory and motor blockage noted in each group . duration of sensory and motor blockage in group C 310.52±40.51, 368.22±42.58 min In group D 505.42±42.38, 560.38±32.48 min Duration of analgesia group C 340.32±38.49 min No signicant adverse reactions group D 525.38±45.36 min 

Conclusion: Addition of dexmedetomidine prolongs duration of sensory and motor blockage and duration of analgesia as compared to clonidine with 0.5% bupivacaine in SBB.


Keywords : Clonidine; Dexmedetomidine; Supraclavicular Brachial Plexus Block; Ultrasound Guided Supraclavicular Block.
Corresponding Author : Dr. Manisha Kapdi, Associate Professor, Department of Anaesthesia, Smt. NHL Municipal Medical College, VSGH, Ahmedabad, Gujarat 380006, India.