A Comparative Study between 10µg and 15µg of Dexmedetomidine as an Adjuvant to Intrathecal 0.75% Isobaric Ropivacaine in Patients undergoing Total Abdominal Hyterectomy
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 3
Abstract
Dexmedetomidine is being increasingly used to prolong the duration of subarachnoid block. Various doses of dexmedetomidine are in practice. Isobaric Ropivacaine for its reduced cardiotoxicity and early motor recovery has gained edge over bupivacaine for subarachnoid block. Aims and objectives: To assess the efficacy and safety of two different doses of dexmedetomidine i.e 10µg and 15µg as an adjuvant to 0.75% isobaric ropivacaine intrathecally for abdominal hysterectomy surgeries. Materials and Methods: This prospective randomized and double blind study was conducted in 60 female ASA I and II patients scheduled for hysterectomy surgeries were randomized into two groups A and B. Group A received 2.5ml of 0.75% isobaric ropivacaine and 10µg dexmedetomidine whereas group B received 2.5ml of 0.75%isobaric ropivacaine and 15 µg dexmedetomidine. Onset and duration of sensory and motor block, hemodynamic variables were recorded and compared between the two groups. Results: The mean onset time of sensory and motor block of group A was 5.52±0.28mins and 6.95±0.22mins respectively whereas in group B was 4.48±0.35 and 6.1±0.28 mins which was statistically significant (p<0.0001). Duration of sensory and motor blockade in group A was 423±12.85 and 382±9.25mins respectively whereas in group B was 587±10.83 and 530±15.78 mins which was statistically significant (p<0.0001). There was no significance in hemodynamic and side effects between two groups. Conclusion: Our study showed that 15µg of Dexmedetomidine provided rapid onset and prolonged duration of subarachnoid block with isobaric 0.75% ropivacaine without significant side effects.
Authors and Affiliations
Jayanth M. N.
Keywords
Related Articles
- EP ID EP533266
- DOI 10.21088/ijaa.2349.8471.5318.4
- Views 97
- Downloads 0
Study on Traditional Didactic Teaching versus VideolaryngoscopyAssisted Feedback for Teaching Endotracheal Intubation
Direct laryngoscopy and endotracheal intubation is an integral part of many fields of medical care including anaesthesia, intensive care and emergency medicine. Aim: The aim of the study was to assess the relative effica...
Effect of Lidocaine and Diclofenac in Counteracting the Myalgia Induced by Succinylcholine
Introduction: There has been an increasing need to find an easily available, effective and feasible method of reducing the incidence of myalgia. Hence, the purpose of the present study is to evaluate and compare the effe...
Comparative Study of Rectal Tramadol versus Diclofenac in Post Cesarean Section Pain Management
Context: Post Cesarean section substantial postoperative discomfort and pain can be anticipated. Pain inadequately relieved is deleterious and lead to number of complications in the postoperative period.The analgesic reg...
Comparison of Ondansetron with Dexamethasone and Ondansetron as Postoperative Nausea and Vomiting Prophylaxis in Middle Ear Surgeries
Postoperative nausea & vomiting (PONV) is one of the most common and distressing complication during postoperative period increasing morbidity and cost of medical care. This study was conducted to compare the efficacy of...
Chronic Knee Osteoarthritis: Intra - articular Sodium Hyaluronic Acid and Radiofrequency Neurotomy of Genicular Nerve
Background: Various modalities have been used for treatment of chronic knee osteoarthritis but with limited benefits. Radiofrequency neurotomy of genicular nerve is emerging as newer modality for pain relief with few com...