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A COMPARATIVE STUDY OF LOW DOSE INTRATHECAL DEXMEDETOMIDINE AND CLONIDINE AS ADJUVANT TO BUPIVACAINE ON CHARACTERISTICS OF SPINAL BLOCK
Author(s) -
Chayan Sarkar,
Sudha Jain,
Sucheta Tidke,
Moumita Debnath
Publication year - 2022
Publication title -
international journal of advanced research
Language(s) - English
Resource type - Journals
ISSN - 2320-5407
DOI - 10.21474/ijar01/14223
Subject(s) - dexmedetomidine , clonidine , medicine , bupivacaine , anesthesia , supine position , adjuvant , intrathecal , block (permutation group theory) , blockade , sedation , geometry , mathematics , receptor
Background: To evaluate the effect of low dose intrathecal dexmedetomidine and clonidine as adjuvant to bupivacaine on characteristics of spinal block . A total of 60 patients , scheduled for lower abdominal , lower limb and gynaecological procedures were selected to participate in this prospective , randomised double blind study . After injecting the drug time were noted (T0) and the patient were turned to supine position . Following observation were recorded :Onset of time of sensory block(T1) ,Level of sensory block(LMAX), Time to achieve maximum sensory block level(T3), Onset of motor block(T2) , Peak level of motor blockade(T4) were assessed by using Bromage score . Results: The results of outcome variables were suggestive of improved effect of addition of clonidine or dexmedetomidine as adjuvant to 0.5 % Bupivacaine (heavy) on Quality of blockade Conclusions: Improved quality of block in dexmedetomidine group compared to clonidine can be applicable in improving the duration of block in surgical cases requiring prolonged block.

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