A COMPARITIVE STUDY BETWEEN FENTANYL AND DEXMEDETOMIDINE AS EFFECTIVE ADJUVANTS TO LIGNOCAINE FOR INTRAVENOUS REGIONAL ANAESTHESIA FOR FOREARM SURGERIES IN THE AGE GROUP OF 20-50 YEARS – A PROSPECTIVE STUDY

Abstract

Aims to compare the efcacy of addition of dexmedetomidine to lignocaine and fentanyl to lignocaine for intravenous regional anaesthesia for forearm surgeries. This prospective randomized study was conducted on 60 patients of age 20-50 years, randomly divided in to two main groups of 30 patients in each group, of ASA I, II and III, scheduled for elective forearm surgeries. Group A received 3mg/kg body weight of lignocaine 2% + 1mcg/kg fentanyl. Group B received 3mg/kg body weight of lignocaine 2% + 1mcg/kg Dexmedetomidine. The following parameters were recorded, onset and duration of sensory and motor blockade, hemodynamic effects, post operative analgesia and side effects between groups. Adding 1mcg/kg fentanyl or 1mcg/kg dexmedetomidine to lignocaine for intravenous regional anaesthesia improves the quality of anaesthesia and perioperative analgesia. Fentanyl reduces the time of onset of block and provided better analgesia