Comparison Of Different Dose Of Clonidine As Adjuvant To Local Anaesthetic Agent In Supra Clavicular Block For Post Operative Analgesia

BACKGROUND: supraclavicular bracheal plexus block(SBB) is used worldwide,for upper limb surgeries various adjuvant used to improve quality of the Anaesthesia as well as for increased duration of postoperative analgesia. AIMS & OBJECTIVES: :To access different dose of clonidine as adjuvant in SBB MATERIAL & METHODS: 50 patients of ASA grade I or II, scheduled for upper limb surgeries, were randomly divided in two groups (A & B) of 25 each. Supraclavicular brachial plexus block(SBB) performed with 20 ml lignocaine adrenaline 1.5%, 10 ml bupivacaine 0.5% and study drug in all patients. Group A received 75 μg clonidine in 1 ml saline. Group B received 150 μg clonidine in 1 ml saline. Onset and duration of sensory and motor blockade was noted. Patients were watched for intraoperative and postoperative side effects of drug, procedure related complications and hemodynamic alterations. Duration of postoperative analgesia was interpreted by VAS score and noted in terms of first rescue analgesic needed. OBSERVATIONS& RESULTS : Demographics were comparable in both the groups.

Conscious Sedation With Dexmedetomidiine Midazolam Infusion In Patients With Inyrathecal Bupivacaine For Infraumbilical Surgeries

Background:spinal anesthesia is very much common regional anesthesia. Assurance and conscious sedation is required to make patients calm and co-operative. We have also assessed effect of dexmedetomidine/ midazolam infusion on sensorimotor characteristics ofspinal bupivacaine. Material and methods: We selected 50patients for the study, 25 in each group.Group-D :Received a loading dose of I.V dexmedetomidine 0.5mcg/kg by infusion pump over 10 min + 0.5mcg/kg/hr infusion till the end of surgery.Group-M : Recieved a loading dose of I.V midazolam 0.02mg/kg by infusion pump over 10 min + 0.04mg/kg/hr infusion till the end of surgery. Observation The pulse rate & SBP in group D was significantly lower as compared to group M from 10 minutes to 120 minutes after subarachnoid block. Significant difference was seen between group D and group M. There was no statistically significant change in pulse rate between 120mins to 24 hrs postoperatively between the groups.

Comparative Study Of3ed95 Rocuronium Versus Succinylcholine A Intubating Agent In A Pediatric Patient Drshruti Desai,Dr Manisha Skapdi

Background: succinylcholine is routine muscle relaxant for paediatric patients. Rocuronium is newer non depolarising muscle relaxant.Aims & objectives: To assess time, course and duration of both relaxants as well as intubation conditions.Material & Methods:The randomized blind study was carried out to evaluate the intubating condition with two different muscle relaxants in 50 ASA grade I and II pediatric patients with age group of 2-6 years,having duration of surgery less than 30 minutes.Patients were anaesthetized with injection rocuronium 0.9 mg/kg i.v. or with injection succinylcholine 1.5 mg/kg after injection fentanyl 1ug/kg and injection thiopentone 5 mg/kg. Neuromuscular blockade was assessed by twitch response of adductor pollicis longus after supra-maximal stimulation of ulnar nerve. Tracheal intubating conditions were assessed by blinded anaesthetist after 60 seconds and then after every 15 seconds, till patient got intubated. Along with this, time of onset and percentage of neuromuscular blockage was also assessed. Observations and results:Time course and duration of action were more in case of rocuronium group as compared to succinylcholine group.Intubating conditions are comparable in both groups

A Comparative Study Of Efficacy And Safety Of Ultrasoundguided Double Tap Block

Background: Geriatric patients of open hernia repair have comorbidities., Impaired cardiorespiratory reserves ultrasoundguided regional blocks nowadays very popularAims & objectives: to explore USG guided double TAP block with conventional anaesthesia techniqueObservations and results: DoubleTAP block provided less sensorimotor blockage,& prolonged Postoperative analgesia then unilateralspinal anaesthesiaConclusion:USG guided double TAP block can be alternative to unilateral spinal anaesthesia in geriatric patients for open unilateral hernia repair.

Comparison Of Asleep Awake Asleep (AAA) Technique, Monitored Anaesthesia Care , Technique For Awake Craniotomy

BACKGROUND:Awake craniotomy is an important technique used for Braintumor excision from eloquentcortex,Epilepsyfoci removalsurgery,Deepbrain stimulation,Lesscommonly formycoticaneurysms,A-Vmalformation near cortical areas.AIMS AND OBJECTIVESMaintaining patients cooperationby provision of optimalanalgesia,sedation,anxiolysis and comfortable position ,Achieving homeostasis with safe airway, adequate ventilationand hemodynamic stability.,Ensure minimal interference with electrocorticographicrecording during mapping.To show the feasibility of dexmedetomidine and scalp blockwith 0.5% bupivacaine for cortical mapping.Material methodsin both group Dexmedetomidiine infusion &scalp block givenIn group A:Igel2nd generation LMA for airway managementafter inj propofol 2 mg/kgIn group B: Nasopharyngeal airway for same

Comparative Study Of Dexmedetomidine Or Mgso4 To Attenuate Hemodynamic Stress Responseto Laryngoscopy And Intubation

BACKGROUND:For General anaesthesia, Endo-tracheal intubation is doneSent from Yahoo Mail on Androidusually due to that catecholamine released & deleterious haemodynamic response there . to prevent that alpha agonist dexmedetomidine & NMDA antagonist MgSO4 was used.AIM: to prevent stress response by both pharmacological agentsMATERIAL & METHODS:Both dexmedetomidine 1mcg/kg & MgSO4 30mg/kg 50% were given over 10 min slowly before induction. HR,SBP, DBP were measured at -. After intubationResults: bothdecrease Stress responseCONCLUSION: Dexmedetomidine decreases stress response in comparison to MgSO4 as MgSO4 causes mild tachycardia.