scholarly journals COMPARISON OF EFFICACY OF PLAIN LIGNOCAINE WITH LIGNOCAINE AND CLONIDINE IN INTRAVENOUS REGIONAL ANAESTHESIA FOR UPPER LIMB SURGERY

2013 ◽  
Vol 2 (17) ◽  
pp. 2793-2805
Author(s):  
Jyoti V. Kulkarni ◽  
Rashmi Bengali ◽  
Suhas Jewalikar
Keyword(s):  
Upper Limb ◽  
Regional Anaesthesia ◽  
Upper Limb Surgery ◽  
Intravenous Regional Anaesthesia

scholarly journals Evaluation of the Efficacy of Magnesium Sulphate as an Adjuvant to Lignocaine for Intravenous Regional Anaesthesia for Upper Limb Surgery

2008 ◽  
Vol 36 (6) ◽  
pp. 840-844 ◽  
Author(s):  
S. Narang ◽  
J. S. Dali ◽  
M. Agarwal ◽  
R. Garg
Keyword(s):  
Upper Limb ◽  
Normal Saline ◽  
Magnesium Sulphate ◽  
Regional Anaesthesia ◽  
Motor Block ◽  
Sensory Block ◽  
Tourniquet Pain ◽  
Upper Limb Surgery ◽  
Significant Difference ◽  
Intravenous Regional Anaesthesia

Several additives have been combined with local anaesthetics for intravenous regional anaesthesia to improve block quality, analgesia and to decrease tourniquet pain. Magnesium sulphate is one potential additive. This prospective, randomised, double-blinded study was conducted in 30 ASA physical status I or II patients undergoing upper limb surgery under tourniquet. In group L, patients received intravenous regional anaesthesia with lignocaine alone (9 ml of 2% lignocaine diluted with normal saline to total volume of 36 ml). Patients in group M received intravenous regional anaesthesia with lignocaine plus magnesium sulphate (6 ml of 25% magnesium sulphate plus 9 ml of 2% lignocaine diluted with normal saline to total volume of 36 ml). Assessment was by observing the response to injection of drug; sensory and motor block and tourniquet pain. The mean time of onset of sensory block was 12.40 and 3.47 minutes in groups L and M respectively (P <0.001). The average times of onset of motor block in groups L and M were 17 and six minutes respectively (P <0.001). Of the patients in group M, 66.7% reported moderate to severe pain while the drug was being injected, compared to 20% in group L (P=0.011). There was a statistically significant difference in visual analogue scale for tourniquet pain at 10 and 30 minutes after tourniquet inflation (lower in group M). These findings indicate that magnesium sulphate added as an adjuvant to lignocaine hastens the onset of sensory and motor block and decreases tourniquet pain. However, there is increased incidence of transient pain on injection if magnesium sulphate is added.

scholarly journals Comparison of magnesium sulphate as an adjuvant to lignocaine with lignocaine alone in intravenous regional anaesthesia for upper limb surgery in improving tourniquet pain.

2020 ◽  
Vol 27 (06) ◽  
pp. 1311-1315
Author(s):  
Syed Mehmood Ali ◽  
Sadaf Bokhari ◽  
Hajra Shuja
Keyword(s):  
Magnesium Sulfate ◽  
Upper Limb ◽  
Magnesium Sulphate ◽  
Regional Anaesthesia ◽  
Control Group ◽  
Analgesic Requirement ◽  
Tourniquet Pain ◽  
Upper Limb Surgery ◽  
Intravenous Regional Anaesthesia ◽  
Mean Time

Objectives: To compare mean time to the first analgesic requirement with the Magnesium sulfate with lignocaine and lignocaine alone under intravenous regional anaesthesia for upper limb surgery. Study Design: Randomized Controlled Trial. Setting: Operative Rooms of Shaikh Zayed Hospital, Lahore. Period: October 2, 2018 to April 2, 2019. Material & Methods: For the analysis, a total of 150 (75 subjects per group) were selected that fulfilled the inclusion criteria. Those subjects were allocated by the use of the tables to two separate anesthetic regimes. Lignocaine plus magnesium sulphate was given to experimental group (M) as an adjunct and control group (L) was given simple IVRA with lignocaine. Mean Atrial Pressure, Heart Rate, and SpO2 were tracked every 2 minutes after start of anesthesia before and after use of the tourniquet. All the patients will be counseled to report if they experience tourniquet pain. When patients complained of tourniquet pain it was assessed on VAS of l-10 and patient was given analgesia if pain >3 on VAS. The data were collected and analyzed in SPSS v25.0. The median time for analgesics was used in both groups for the analysis of the independent t-test. A p-value of 0.05 was estimated significant. Results: 150 patients were enrolled. Mean time to first analgesic requirement is greater with the Magnesium sulfate with lignocaine and lignocaine alone in patients undergoing upper limb surgery under intravenous regional anaesthesia 51.9±4.2 minutes vs. 32.1±4.4 minutes (p=0.000). Conclusion: The findings indicate that the tourniquet pain is reduced by adding magnesium sulphate as an adjuvant to lignocaine.

Comparison of Tramadol and Butorphanol as Adjuncts to Lignocaine for Intravenous Regional Anaesthesia for Upper Limb Surgeries

2017 ◽  
Vol 4 (4 (Part-2)) ◽  
pp. 1110-1114
Author(s):  
Kaur Jasleen ◽  
◽  
Jagdev Jagjit Singh ◽  
Kirti Rishi ◽  
Sachin Arora ◽  
...  
Keyword(s):  
Upper Limb ◽  
Regional Anaesthesia ◽  
Intravenous Regional Anaesthesia

scholarly journals Patient perspective on regional anaesthesia of upper limb surgery

2013 ◽  
Vol 11 (8) ◽  
pp. 663
Author(s):  
Bafiq Nizar ◽  
Rinoza Bafiq ◽  
James Harty
Keyword(s):  
Upper Limb ◽  
Regional Anaesthesia ◽  
Patient Perspective ◽  
Upper Limb Surgery
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