A comparative study of dexmedetomidine and nalbuphine as an adjuvant to bupivacaine in lower limb surgeries done under epidural anaesthesia
Journal Title: Medpulse International Journal of Anesthesiology - Year 2017, Vol 3, Issue 1
Abstract
Aims and Objectives: To compare the clinical profile of Nalbuphine and Dexmedetomidine as an adjuvant to Bupivacaine when administered epidurally with respect to sensory and motor blockade, level of sedation and duration of analgesia. Material and Methods: A study was carried out in the Department of Anaesthesiology of Indira Gandhi Government Medical College and Hospital, Nagpur from Nov 2014 to October 2016. The study included 70 adult patients undergoing infraumbilical and lower limb surgeries in epidural anaesthesia. Assessment of motor blockade was done with Modified Bromage Scale. Degree of pain was evaluated by Visual Analogue Scale. Level of Sedation was assessed by Five Point Scale. Result: There was statistically significant difference between the groups for onset of sensory block, duration of analgesia and reversal of motor blockade. The onset of motor blockade, time to achieve maximum sensory and motor blockade, sedation score, Visual analogue scale score were comparable between the groups. Conclusion: Dexmedetomidine is a better adjuvant to Bupivacaine for epidural anaesthesia when compared to Nalbuphine as it provides earlier onset of sensory blockade, prolonged duration of sensory block and postoperative analgesia with stable vitals and minimal side effects.
Authors and Affiliations
Sonali M Khobragade, Jagdish Kalbhor, Ruchi Saran, Sandhya Manjrekar, Soma Cham
Keywords
Related Articles
- EP ID EP260426
- DOI -
- Views 593
- Downloads 0
A study of post-operative pain and sedation in response to low dose dexmedetomidine infusion in patients undergone laparoscopic surgery
Background: The laparoscopic surgeries allow significant reduction in post-operative pain, there may be pain resulting from the diaphragmatic irritation. Multimodal analgesia is now recommended to prevent and treat the p...
A comparative study of ropivacaine 0.5% and bupivacaine 0.5% in combination with fentanyl in supraclavicular brachial plexus block
Background: Regional anaesthesia now occupies an important position in anaesthesia now days and has undergone advancements both in techniques and drug availability. Regional anaesthesia techniques are an important assort...
Use of rectal Diclofenac as an adjunct to spinal analgesia after caesarean section
Objective: 1) To evaluate the analgesic efficiency of Rectal Diclofenac for post operative pain relief after caesarean section. 2) To evaluate number of doses of analgesics required for post operative pain relief after c...
Comparison of intrathecal dexmedetomidine - 0.5% heavy bupivacaine combination with intrathecal 0.5% heavy bupivacaine alone for lower limb and lower abdominal surgeries
Aims: To assess the effects of intrathecal dexmedetomidine on the onset and duration of action of sensory and motor block, haemodynamic alteration, associated complications, level of sedation and intraoperative analgesia...
A comparative study of pre-incisional and post-incisional wound infiltration of bupivacaine for post-operative pain relief in abdominal surgeries
Background:Topical infiltration of local anaesthetic in the surgical site is a simple, easy and attractive technique recommended for providing a longer post-operative pain free period and decreased opioid requirements.Ma...