Abstract
IMPLICATION STATEMENT: Various adjuvants like opioids, alpha-2 agonists, steroids and many more drugs have been mixed with local anaesthetic (LA) solutions for Intravenous Regional Anaesthesia (IVRA). These drugs are added with the aim of hastening the onset of action and prolonging the duration of analgesia. They may also allow for a reduction in the total dose of LA used and related side effects. In this article, we have reviewed clinical trials using nitroglycerine (NTG) as an adjuvant to LA in IVRA and have summarized the advantages, disadvantages and current role of this drug. To the best of our knowledge, no meta-analysis, or review article has analysed the role of NTG as an adjuvant to Bier’s block. Keywords: Intravenous regional anaesthesia, Nitroglycerine, VAS score, Adjuvants for Bier’s block.
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