Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
Indian Journal of Anesthesia and Analgesia

Volume  6, Issue 2, March - April 2019, Pages 413-422
 

Original Article

The Efficacy of Clonidine Added to Bupivacaine as Compared to Bupivacaine Alone Used in Supraclavicular Brachial Plexus Block

Chandra Sekhar T1, Lavanya Kaparti2

1Assistant Professor, Department of Anaesthesiology, College of Medicine and JNM Hospital, Kalyani, Nadia Dist, West Bengal 741235, India. 2Assistant Professor, Department of Anaesthesiology, Sambhram Institute of Medical Sciences and Research, Kolar Gold Fields, Karnataka 563115, India.

Choose an option to locate / access this Article:
90 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6219.7

Abstract

Introduction: Supraclavicular brachial plexus block provides anaesthesia of the entire upper extremity in the most consistent and time-efficient manner. The present study was undertaken to evaluate the time of onset, duration of sensory and motor block along with monitoring of heart rate, non-invasive blood pressure, and sedation. The analgesic efficacy of clonidine bupivacaine combination compared to plain bupivacaine for brachial plexus block by supraclavicular approach was also studied. Material and Methods: After institutional ethical committee clearance and prior informed consent, fifty patients aged 18 to 60 years undergoing upper limb surgery were included in the study after being divided into two equal groups: one with Bupivacaine – Clonidine (BC), another with bupivacaine (B) alone. Group BC received 30 ml of Bupivacaine 0.25% plus 1 μg/kg of clonidine with Normal saline to make a total of 1 ml and Group B received 30 ml of bupivacaine 0.25% plus 1 ml of Normal saline 0.9%. The onset as well as duration of sensory and motor block along with monitoring of heart rate, NIBP, sedation score were recorded. Results: The time of onset of sensory and motor blockades was fast in clonidine group along with prolonged duration of action of the same. There was no statistically significant difference between the two groups with regards to age, gender and weight (p>0.05). The mean duration of sensory block in group BC was 500.00 ± 104.61 min and in group B was 326.00 ± 58.31 min. The mean duration of motor block in group BC was 420.60 ± 94.23 min and the group B was 283.00 ± 54.85 min. The statistical analysis by unpaired student’s ‘t’- test showed that the duration of sensory and motor block in group BC was significantly longer when compared to group B (p < 0.001). Conclusion: This study concludes that clonidine is a better adjuvant to bupicaine for supraclavicular brachial plexus block; it provides faster, longer duration of analgesia and sedation with hemodynamic stability.


Keywords : Clonidine; Bupivacaine; Supraclavicular Brachial Plexus Block; Upper Limb Surgeries.
Corresponding Author : Lavanya Kaparti