Open AccessCOMPARATIVE STUDY OF DIFFERENT DOSES OF DEXMEDETOMIDINE AS AN ADJUVANT TO INTRATHECAL HYPERBARIC BUPIVACAINE IN LOWER LIMB ORTHOPAEDIC SURGERIES
Author(s) -
Mukesh Choudhary,
Neeti Mahla
Publication year - 2021
Publication title -
international journal of medical and biomedical studies
Language(s) - English
Resource type - Journals
eISSN - 2589-8698
pISSN - 2589-868X
DOI - 10.32553/ijmbs.v5i8.2080
Subject(s) - dexmedetomidine , medicine , bupivacaine , anesthesia , intrathecal , analgesic , adjuvant , surgery , orthopedic surgery , motor block , sedation
Background: This study is aimed to different doses of Dexmedetomidine as an adjuvant to Intrathecal hyperbaric bupivacaine in lower limb orthopaedic surgeries
Methods: A prospective randomized double blind study was conducted with 90 consenting patients of ASA grade I and II, scheduled for lower limb Orthopaedic surgeries. Using the lottery method, the patients were randomly allotted into 3 groups, 30 patients in each group. Group I , Group II & Group III.
Results: Post-operative VAS and total analgesic requirement in 24 hours were minimal in group C as compare to B group. All the patients achieved Bromage scale 3 motor block and there was dose dependent prolongation of motor block in B and C groups.
Conclusion: Supplementation of spinal Bupivacaine with Dexmedetomidine significantly prolonged both sensory and motor block compared with intrathecal Bupivacaine alone.
Keywords: Bupivacaine, Dexmedetomidine, Motor block.