Published April 30, 2024 | Version https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue4,Article180.pdf
Journal article Open

Comparison of Effects of Clonidine and Dexmedetomidine as an Adjuvant to Ropivacaine in Sciatic Femoral Block in Lower Limb Surgeries

Authors/Creators

  • 1. Assistant Professor, Department of Anesthesiology, Kalaignar Centenary Super Speciality Hospital, Chennai
  • 2. Professor, Department of Anesthesiology, Thanjavur Medical College Hospital, Thanjavur
  • 3. Assistant Professor, Department of Anesthesiology, Government Ariyalur Medical College Hospital, Ariyalur
  • 4. Senior Assistant Professor, Department of Anesthesiology, Thanjavur Medical College Thanjavur

Description

Below knee and foot surgery is associated with severe pain that can extend significantly up to 48 hours and often requires larger amounts of parenteral opioids. Femoral and popliteal nerve blockade reduces postoperative pain after major foot and ankle surgery with minimal side effects. However, the maximum duration of effective analgesia with long-acting local anesthetics after a single injection technique is only 8–24 hours. Therefore, local anesthetics in combination with adjuvants were often used in attempts to prolong the duration of a single-shot popliteal fossa block (SSPFB). In this study we assess the efficacy of the addition of an alpha – 2 adrenergic agonist, Clonidine and Dexmedetomedine to local anaesthetic solution in sciatic femoral block in below knee surgeries.

 

 

Abstract (English)

Below knee and foot surgery is associated with severe pain that can extend significantly up to 48 hours and often requires larger amounts of parenteral opioids. Femoral and popliteal nerve blockade reduces postoperative pain after major foot and ankle surgery with minimal side effects. However, the maximum duration of effective analgesia with long-acting local anesthetics after a single injection technique is only 8–24 hours. Therefore, local anesthetics in combination with adjuvants were often used in attempts to prolong the duration of a single-shot popliteal fossa block (SSPFB). In this study we assess the efficacy of the addition of an alpha – 2 adrenergic agonist, Clonidine and Dexmedetomedine to local anaesthetic solution in sciatic femoral block in below knee surgeries.

 

 

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Additional details

Identifiers

URL
https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue4,Article180.pdf

Dates

Accepted
2024-03-26

Software

Repository URL
https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue4,Article180.pdf
Development Status
Active

References

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