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Volume 4 Issue 3 (May - June, 2016)

Original Articles

UTILIZATION OF CLONIDINE IN SUPRACLAVICULAR BRACHIAL BLOCK IN UPPER LIMB SURGERY AT UDAIPUR, RAJASTHAN
Prakash Chandra Audichya, Sameer Goyal

Aim: To compare the effect of clonidine v/s placebo as adjuvant to lignocaine for brachial plexus block, by supraclavicular approach, for different upper limb surgeries. Methods: The present study was conducted in 50 patients of ASA I or II status in the age group of 18 – 50 years at Pacific medical college and hospital, Udaipur, Rajasthan, India under brachial plexus block by supraclavicular approach for various upper limb surgeries, emergency or planned.Patients of both groups were assessed in terms of onset time of motor and sensory block, Perioperative hemodynamic status, Duration of post operative analgesia, Adverse effects of drugs if any etc. Data were analyzed using unpaired ‘t’ test with p value <0.05 considered statistically significant. Results: The mean time of onset of sensory and motor block was significantly lower in Group B compared to Group A. Mean duration of motor block and sensory block are significantly longer in Group B than in Group A. No incidence of nausea, vomiting, hypotension, tachycardia or bradycardia were observed in any group. Conclusion: When clonidine 150 µg is added to local anesthetic solution in supraclavicular brachial plexus block, it provides rapid onset of block, better analgesia, good hemodynamic stability and profound & longer analgesia without any adverse effects.
Key Words: Clonidine, Supraclavicular, Udaipur, Upper limb

 
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