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Category: Volume 07 Issue 08 August 2019
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Title: Observational Study of Lignocaine Alone and Lignocaine with Dexmedetomidine for Intravenous Regional Anaesthesia

Authors: Dr Ajith Kumar G, Dr Anzer shah .M, Dr Baburaj .C, Dr Shamshad Beegam T S

 DOI: https://dx.doi.org/10.18535/jmscr/v7i8.78

Abstract

Background and Aims

  1. Addition of Dexmedetomidine Hastens onset of IVRA
  2. To assess the duration of Analgesia gets prolonged with combination of Dexmedetomidine (α2 receptor agonist) and lignocaine compared to lignocaine alone for IVRA.
  3. To compare the quality and efficacy of Analgesia with addition of Dexmedetomidine to lignocaine and lignocaine alone for IVRA for post OP pain relief.
  4. Study the incidence of side effects.

Methods: this study was observational study and conducted after obtaining Institutional Ethics Committee approval and written Informed consent. Fifty patients in the age group 20 – 60 years belongs to ASA physical status 1 was selected to participate in the study. Both emergency as well as elective patients were included. 

Results: Minimum period of post operative analgesia in the Dexmedetomidine (study group) was 180 mts and maximum was 540 mts with a mean value of 343.2 mts, in the control group it was varied from 5 mts to 30 mts with a mean of 17.8 mts.

Conclusion: The present study concludes that addition of 0.5µg/kg of Dexmedetomidine along with 0.5% preservative free lignocaine can be recommended for Intravenous regional analgesia of extremity surgeries as it offers a simple, inexpensive and safe means of good quality postoperative analgesia.

Keywords: Dexmedetomidine, Preservative free lignocaine, Intravenous Regional Anaesthesia.

References

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Corresponding Author

Dr Anzer shah .M

Assistant Professor, Govt. TD Medical College, Alappuzha, India