Comparison of Clonidine & Dexamethasone as Additive to Bupivacaine in Fascia Iliaca Compartment Block for Postoperative Analgesia in Patients Undergoing Lower Limb Orthopedic Surgeries
International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
www.ijsr.net | Open Access | Fully Refereed | Peer Reviewed International Journal

ISSN: 2319-7064



Downloads: 58

Research Paper | Medical Science | India | Volume 9 Issue 11, November 2020

Comparison of Clonidine & Dexamethasone as Additive to Bupivacaine in Fascia Iliaca Compartment Block for Postoperative Analgesia in Patients Undergoing Lower Limb Orthopedic Surgeries

Dr Mahendra Kumar Gocher, Dr Suresh Pandey, Dr S. P. Chittora

Introduction: The use of FICB is safe and effective approach to postoperative analgesia. Major lower limb surgery often painful & require aggressive postoperative pain management. Poorly treated patient can have negative impact on recovery. Aims & Objective: To compare postoperative analgesia in both the group using VAS score -To compare the consumption of rescue analgesics -To observe any complication in both the group Method Study Setting: Jhalawar medical college & hospital jhalawar. Study Design: Prospective randomized single blinded study Sample Size: 80 patients, age 18 to 65 years Sampling Technique: Computer generated random numbers. Study Group: 40 in each group Group 1: FICB with 48 ml 0.25 % bupivacaine + 50mcg clonidine diluted with NS upto 2ml Group 2: FICB with 48 ml 0.25 % bupivacaine + 8mg dexametahsone (2ml). Observation & Result: At 12 hours after surgery: Mean VAS score at rest was 3.41.4 in group1 and 2.461.9 in group2 (P value=0.006) -Mean VAS score during movement was 4.840.99 in group1 and 4.221.49 in group2 (P value=0.015) -There score at rest and during movement There was no significant difference was found in both group in terms of VAS score after 24 hours postoperatively both sat rest and during movement. Mean requirement of number of rescue analgesic was 1.960.66 in group1 and 1.600.75 in group2, which was statistically significant ( P value =0.018). Conclusion: Our study show that adding dexamethasone to bupivacaine for FICB has better analgesia in early postoperative period and decreased requirement of rescue analgesic as compared to patient who received clonidine as additive to bupivacaine. We conclude that dexamethasone provide better analgesic effect than clonidine. However larger prospective randomized trials are required to establish the superior efficacy of dexamethasone.

Keywords: FICB, facia iliaca compartment block, Lower Limb, Clonidine, Dexamethasone

Edition: Volume 9 Issue 11, November 2020

Pages: 1542 - 1544

Share this Article

How to Cite this Article?

Dr Mahendra Kumar Gocher, Dr Suresh Pandey, Dr S. P. Chittora, "Comparison of Clonidine & Dexamethasone as Additive to Bupivacaine in Fascia Iliaca Compartment Block for Postoperative Analgesia in Patients Undergoing Lower Limb Orthopedic Surgeries", International Journal of Science and Research (IJSR), https://www.ijsr.net/search_index_results_paperid.php?id=SR201120200918, Volume 9 Issue 11, November 2020, 1542 - 1544

Enter Your Email Address




Similar Articles with Keyword 'Lower Limb'

Downloads: 0

Research Paper, Medical Science, India, Volume 10 Issue 6, June 2021

Pages: 563 - 564

Liddle it's A Riddle

Dr Ashish Nair

Share this Article

Downloads: 1 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1

Case Studies, Medical Science, India, Volume 10 Issue 7, July 2021

Pages: 1156 - 1157

Guillain-Barre Syndrome (GBS) Associated with Scrub Typhus: Case Report

Akhil Katna, Himanshu Dhiman

Share this Article

Similar Articles with Keyword 'Clonidine'

Downloads: 101

Research Paper, Medical Science, India, Volume 10 Issue 1, January 2021

Pages: 140 - 142

Comparison of Magnesium Sulphate 100mg and Fentanyl 25?g as Adjuvants to Intrathecal Hyperbaric Bupivacaine 0.5% for Infraumbilical Surgeries

Dr. C. P. Huda, Dr. S.P. Chittora, Dr. Rakesh Choudhary

Share this Article

Downloads: 133

Research Paper, Medical Science, India, Volume 8 Issue 1, January 2019

Pages: 1590 - 1593

Dexamethasone or Clonidine: Which is the Better Additive to Local Anaesthetic in Supraclavicular Blocks

Dr Basheer P M A, Dr GANESH

Share this Article



Top