A randomised clinical trial to compare the butorphanol and nalbuphine as adjuvants in ultrasound guided supraclavicular brachial plexus block
Journal Title: Medpulse International Journal of Anesthesiology - Year 2019, Vol 10, Issue 3
Abstract
Background: Supraclavicular brachial plexus block provides complete anaesthesia for surgeries of upper limbs especially below the mid humerus.Using ultrasound for blocks not only increases the success rate but also reduces complications. With advent of opioid receptors, variety of opioid agents are used for postoperative analgesia via brachial plexus block. Aim: To compare the butorphanol versus nalbuphine for duration of postoperative analgesia in USG guided supraclavicular brachial plexus block. Methodology: The study was carried out in 40 patients aged 20-60yrs,ASA grade I & II of either gender,undergoing Upper limb surgeries via ultrasound guided supraclavicular brachial plexus block in each group. Injection Butorphanol 1mg (Group-I) and Inj Nalbuphine 10 mg (Group-II) were added to local anaesthetic. Onset of sensory and motor blockade, duration of blockade and occurrence of any complications were studied in both the groups.Visual Analogue Score was used to assess the postoperative analgesia. Results: In Group II (Nalbuphine) the duration of analgesia was 390 min±22 min whereas in Group I it is 280±16 min.Conclusion: Both drugs are potent analgesic in brachial plexus block, but Nalbuphine produces longer duration of postoperative analgesia than Butorphanol.
Authors and Affiliations
Shivanand L K, Basavaraj Patil
Keywords
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- EP ID EP616925
- DOI 10.26611/10151034
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