BACKGROUND: "Epidural anaesthesia" the most versatile and suitable technique of central neural blockade as it provides excellent pain relief both intraoperatively and postoperatively. Clonidine is a a2 adrenoreceptor agonist. Traditionally, used as antihypertensive, but now uses based on sedative, anxiolytic and analgesic properties are increasing day by day. The goal of this study is to evaluate the analgesic property of epidural clonidine in two different doses of 1ug/kg and 2ug/kg. MATERIAL AND METHODS: The present study was conducted in the department of Anaesthesiology M. L B Medical College Jhansi India. Subjects include 120 ASA status I and II patients of either sex, aged 21 years to 60 years, undergoing elective infraumbilical and lower limb surgery. The subjects were randomly divided into three groups: Group I Patient were given plain bupivacaine (0.5%) Group II Patient in this group were given 0.5% bupivacaine with clonidine in the dose of 1mg/kg body weight. Group III Patient in this group were given 0.5% bupivacaine with clonidine in the dose of 2mg/kg body weight RESULTS: Latency of sensory block as judged by loss of pin prick sensation was 16.63 ± 3.08, 14.81 ± 2.32, 11.13 ± 2.08 min in Group I, Group II and Group III respectively. Percentage of patient with Grade III blockade were 40%, 67.5%, 77% in in Group I, Group II and Group III respectively. Mean duration of analgesia was 2.8 ± 0.43, 4.7 ± 0.56, 5.1 ± 0.69 in Group I, Group II and Group III respectively. CONCLUSION: This can be concluded that epidural clonidine with bupivacaine shortens the onset of analgesia with good motor block, excellent haemodynamic stability and extended post-operative analgesia.
Retrograde intubation is a well established technique for intubating a patient with difficult airway. Since the first description of retrograde intubation in 1960 several modifications have been reported. However, all techniques require a cricothyroid membrane puncture by a thick needle usually <16G, and specialized catheters. We have devised a novel technique of retrograde intubation using a 20G intravenous catheter, prolene suture (size 0) and an enteric feeding catheter (EFC) size 14F for retrograde intubation. All of the required items are economical and easily available in operation theatre. Till now, we have successfully used this technique in seven patients with difficult airway.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.