Abstract
Objective: To determine the difference in efficacy of bupivacaine as adjuvant to 5 µg& 10 µg of dexmedetomidine respectively during intrathecal administration in prolongation of duration of sensory block (as a main primary variable) in lower limb orthopedic surgery. Setting: Department of anesthesia, MTI-HMC, Peshawar. Study design: Randomized controlled trails. Duration of study: From 1st Feb 2021 to 30th July 2021. Subjects & Methods: Each patient enrolled in study after proper consent in written form and counselling was subjected to complete medical history, clinical examination. Spinal column was the primary focus of examination. All standard vitals monitoring equipment attahed. Baseline readings obtained and noted. Double i/v line was secured. Patients were preloaded with 10ml/ kg of Ringer Lactate. Spinal injection of anesthetic. Conclusion: Results obtained from this study showed that adding 10 micro gram of dexmeditomidine in comparison to 5 micro gram to spinal anesthetic for lower limb traumatic orthopedic surgery significantly prolongs the sensory block, analgesia, decreased onset time for block, early rehabilitaion and ambulation of patients which has various socioecnomic advantages.
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