Journal of Cardiovascular Disease Research
A COMPARATIVE STUDY TO EVALUATE THE EFFECT OF OPIOIDS (MORPHINE, BUPRENORPHINE OR FENTANYL) AS AN ADJUVANT TO 0.5% ROPIVACAINE IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCKADE AND POSTOPERATIVE ANALGESIAâ€
Dr. Heena Shaikh, Dr. Srishti Verma, Dr. Amit Niranjan, Dr. Ashish Mathur, Dr. Dilip Kothari
JCDR. 2023: 1721-1732
Abstract
Peripheral neural blockade like brachial plexus block has brought a new dimension in regional anaesthesia and is now a well accepted component of comprehensive anaesthetic technique as it lack the side effects of general anesthesia. Aims & Objective: To compare the onset and duration of sensory , motor blockade and duration of analgesia Materials and Methods - This study was carried out in Department of Anaesthesiology, J.A. Group of Hospitals and G.R. Medical College, Gwalior (M.P.) after approval from Institutional Ethics Ccommittee, 90 patients of ASA grade I and II scheduled for upper limb surgeries randomly devided in three groups( Buprenorphine, Fentanyl and Morphine) and compare sensory , motor onset , postoperative analgesia and complications. Results & Conclusion: Buprenorphine (0.2mg) when used as an adjuvant with 30 ml ropivacaine in supraclavicular brachial plexus block provides early onset and longer duration of motor and sensory block, more prolonged duration of total analgesia, better relief from postoperative pain with slightly high incidence of nausea and vomiting as compared to Fentanyl and Morphine .
» PDF