Abstract

BACKGROUND: Intravenous regional anesthesia (IVRA) is known for its simplicity, effectiveness, safety, reliability and being economical for day care and emergency surgery circumventing the problems of full stomach. OBJECTIVE: Comparison of effect of lignocaine alone and lignocaine with Tramadol in surgery of upper extremity under intravenous regional anaesthesia. MATERIAL AND METHOD: In our randomized prospective study, total 60 adult ASA class I and II patients undergoing upper limb surgeries were given IVRA and studied for addition of Tramadol on intra operative pain and post operative analgesia. Patients received 0.5% lignocaine 40 ml in one group and we added Tramadol 100 mg in the other group. All the patients were monitored for onset of effect, quality of anesthesia, post op analgesia after deflation of tourniquet, time of first analgesic drug and number of analgesic drug required in first 24 hrs. RESULT: Onset of effect was same in both groups. Intraoperative conditions and post operative analgesia were significantly better in Tramadol group. Consequently, number of doses of analgesic required in first 24 hours was less in Tramadol group. CONCLUSION: Addition of Tramadol has improved the quality of intravenous anaesthesia.

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