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 3, May-June 2019, Pages 911-914
 

Original Article

Intravenous Magnesium Sulphate (MgSO4) for Postoperative Analgesia in Patients Undergoing Hip Surgeries Under Spinal Anaesthesia

P. Dhananjeyulu1, Pradeep R.2

1Assistant Professor, 2Associate Professor, Dept. of Anesthesiology, Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh 517217, India.

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

Open Access: View PDF

DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6319.31

Abstract

Objective: This study is conducted to assess the analgesic effects of intravenous magnesium sulphate (50 mg/kg) in hip surgeries under spinal anaesthesia. Methods: This prospective, randomised, double blinded control study was done on 60 patients posted for hip surgeries (Dynamic hip screw fixation, Proximal femur nailing and Hemiarthroplasty) under spinal anaesthesia. The patients were randomly divided into two groups with 30 patients each. Group S (Study) received magnesium sulphate 50 mg/kg intravenously in 250 ml Normal saline, 15 minutes before spinal anaesthesia and group C (Control) received same volume of normal saline. Hemodynamic variability, duration of analgesia and analgesic requirements were evaluated upto 12 hours after surgery. (30 minutes, 2, 4, 8 and at 12 hours). Results: Postoperative pain scores were significantly lower in Group S (p<0.05) at 2nd hour after surgery and was not significant at other time intervals. Time to first analgesic requirement was significant (p=<0.005) between two groups. Rescue analgesic requirement was lower in Study group compared to Control group, and was statistically significant (p=0.009). The two groups had no significant differences with regards to hemodynamic variability and had no side effects. Conclusion: Intravenous magnesium sulphate 50 mg/kg when given as a bolus reduced the postoperative pain and decreased the need of rescue analgesics after spinal anaesthesia for hip surgeries.


Keywords : Anaesthesia; Bupivacaine; Magnesium sulphate; Postoperative; Rescue analgesia
Corresponding Author : Pradeep R