Comparison of Tramadol and Buprinorphine as an Adjuvent to Bupivacaine used in Supraclavicular brachial plexus block for upper limb surgeries

×

Error message

User warning: The following theme is missing from the file system: journalijdr. For information about how to fix this, see the documentation page. in _drupal_trigger_error_with_delayed_logging() (line 1138 of /home2/journalijdr/public_html/includes/bootstrap.inc).

International Journal of Development Research

Comparison of Tramadol and Buprinorphine as an Adjuvent to Bupivacaine used in Supraclavicular brachial plexus block for upper limb surgeries

Abstract: 

To compare the bupivacaine with buprinorphine and bupivacaine with  tramadol mixture in terms of -
•    Onset of block
•    Time to achieve complete block
•    Duration of postoperative analgesia
•    Incidence of side effects
MATERIALS AND METHODS
Selection Criteria
-     ASA physical status I and II patients
-     Age group 20-50 years.
Exclusion Criteria
-    Progressive neurological disorder
-     Patients having liver or kidney disease
-     History of hypersensitivity reaction to study medication
-     Clotting disorder
-     Patients on opioids
-     Patients who are not willing
They were randomly divided into
Group T: 30 ml of 0.25% Bupivacaine 50mg with Tramadol in Supraclavicular Brachial Plexus Block.
Group B: 30 ml of 0.25%Bupivacaine with 100 mcg Buprinorphine in supraclavicular brachial plexus block.
METHODOLOGY
•    Written, informed consent.
•    All patients  received inj. Midazolam 1mg as premedication.
•    The subclavian artery as a guide.
•    Sensory block was tested by Pinprick method.
0=sharp pain
1=touch sensation
2=no sensation
Assessment of motor blockade by using the Bromage 3 point score.
0=normal motor function
1=decreased motor strength with ability to move the fingers
2=complete motor block with inability to move fingers
Vitals parameters were recorded.
Pain assessment by using verbal response score (VRS) -
     0 =complete absence of pain
     10=worst pain
Rescue analgesia (VRS>6) - inj. diclofenac 75mg IM
Patients will be observed for side effects.
Results: Onset of analgesia is fast with tramadol added to bupivacaine and time to achieve complete block without any increase in side- effects.
Addition of Buprinorphine – Enhance the postoperative analgesia than tramadol added to bupivacaine.

 

Download PDF: