COMPARISON OF DEXMEDETOMIDINE AND CLONIDINE IN COMBINATION WITH BUPACAVINE IN THE SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK

PDF

Published: 2021-01-23

Page: 12-15


V. K. DHULKHED *

Department of Anaesthesiology, Krishna Institute of Medical Sciences, Karad, India.

HEMANT SINGH

Department of Anaesthesiology, Krishna Institute of Medical Sciences, Karad, India.

AVINASH J. BHOSALE

Department of Anaesthesiology, Krishna Institute of Medical Sciences, Karad, India.

R. M. MULLA

Department of Anaesthesiology, Krishna Institute of Medical Sciences, Karad, India.

AMRUTA HEPALGAONKAR

Department of Anaesthesiology, Krishna Institute of Medical Sciences, Karad, India.

*Author to whom correspondence should be addressed.


Abstract

The present study attempted to evaluate the effects of dexmedetomidine (1 mcg/kg) and clonidine (1 mcg/kg) on 0.375% of bupivacaine (35 cc) of the supraclavicular brachial plexus block. Occurs as an assistant. To detect sensory/motor blockade, the onset and duration of post-operative analgesia and any possible complications. The objective of the study is to compare Clonidine and Dexmedetomidine as an adjuvant to Bupivacaine in a supraclavicular brachial plexus block. The study included a total of 60 patients related to American Society of Anesthesiologists (ASA) physical condition I and II between the ages of 18-60 years, scheduled for elective upper limb surgery under the supraclavicular brachial plexus block. The presence of dexmedetomidine increases the length of sensory and motor blocks and the duration of analgesia and enhances the consistency of anaesthesia when injected with bupivacaine in the supraclavicular brachial plexus block.

Keywords: Plexus block, supraclavicular brachial, bupivacaine, dexmedetomidine, adjuvant, clonidine.


How to Cite

DHULKHED, V. K., SINGH, H., BHOSALE, A. J., MULLA, R. M., & HEPALGAONKAR, A. (2021). COMPARISON OF DEXMEDETOMIDINE AND CLONIDINE IN COMBINATION WITH BUPACAVINE IN THE SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK. UTTAR PRADESH JOURNAL OF ZOOLOGY, 41(24), 12–15. Retrieved from https://www.mbimph.com/index.php/UPJOZ/article/view/1823

Downloads

Download data is not yet available.

References

Matuszczak M. Supraclavicular block. 2nd ed. Chapter 6. In: Peripheral nerve blocks, Chelly JE, ed. 1999;35-38.

Urban MK, Urquhart B. Evaluation of brachial plexus anesthesia for upper extremity surgery. Regional Anesthesia. 1994;19:175–182.

Lanz E, Theiss D, Jankovic D. The extent of blockade following various techniques of brachial plexus block. Anesth Analg. 1983;62:55–58.

De Jong R. Local anesthetic pharmacology. In: Brown DL. ed. Regional anaesthesia and analgesia. Philadelphia, Pa: Saunders. 1996;124-42.

Brummett CM, Norat MA, Palmisano JM, Lydic R. Perineural administration of dexmedetomidine in combination with bupivacaine enhances sensory and motor blockade in sciatic nerve block without inducing neurotoxicity in rat. Anesthesiology. 2008;109:502–11.

Mannion S. Regional anaesthesia for upper limb trauma: a review. J Rom Anest Terap Int. 2013;20:49-59.

Winnies AP. Historical consideration. Chapter 2 and 4. In: Plexus anaesthesia. Churchill Livingstone. 1984;1:43-116,192-202.

Cox CR, Faccenda KA, Gilhooly C, Bannister J, Scott NB, Morrison LMM. Extradural S (-) Bupivacaine: comparison with racemic RS bupivacaine. Br J Anaesth. 1998;80:289-93.

Chakraborty S, Chakrabarti J, Mandal MC, Hazra A, Das S. of clonidine as adjuvant in bupivacaine-induced supraclavicular brachial plexus block: A randomized controlled trial. Indian J Pharmacol. 2010;42:74–7.

Yoshitomi T, Kohjitani A, Maeda S, Higuchi H, Shimada M, Miyawaki T. Dexmedetomidine enhances the local anesthetic action of lidocaine via an alpha-2A adrenoceptor. Anesth Analg. 2008;107:96-101.

Esmaoglu A, Yegenoglu F, Akin A, Turk CY. Dexmedetomidine added to levobupivacaine prolongs axillary brachial plexus block. Anaesth Analg. 2010;111:1548-51.