Conclusion: We concluded that neostigmine as an adjunct to lignocaine improves quality of anesthesia and is beneficial in IVRA.
IVRA is a safe and effective regional anesthetic technique but is limited by rapid offset of analgesia.
Group L (n=15): For patients who were to receive IVRA with lignocaine alone, 9 ml of 2% lignocaine (preservative-free) was diluted with normal saline to make a total volume of 36 ml and the resultant concentration of lignocaine to be 0.
Group M (n=15): For patients who were to receive IVRA with lignocaine plus magnesium sulphate, 6 ml of 25% magnesium sulphate (12.
The mechanism of action of magnesium as an adjunct to IVRA is obviously multifactorial.
Thirty patients undergoing elective hand surgery during IVRA were randomly assigned to two groups.
DISCUSSION: IVRA is established by August Bier in 1908 and reintroduced by Holmes in 1960.
With this background we studied the injection Tramadol 50mg as additive in IVRA against control group.
The mechanism of action of lornoxicam as an adjunct to IVRA
The study have been done to compare and evaluate tramadol or paracetamol to lignocaine in IVRA
, on onset, regression time for sensory and motor block, intra-operative as well as postoperative analgesia.
It was observed that addition of 1mcg/kg of dexmedetomidine-lignocaine in IVRA
improves quality of anaesthesia, decreases post-operative recovery VAS score and decreases post-operative analgesic requirement.
CONCLUSION: Using Clonidine in dose of 1 [micro]g/kg as an adjuvant to Lignocaine in intravenous regional anaesthesia IVRA
has, early onset of sensory blockade, delayed the onset of tourniquet pain, increased tourniquet tolerance, reduced severity of tourniquet pain and extended post-operative analgesia.