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Category: Volume 07 Issue 02 February 2019
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Title: A Comparative Study of the Anesthetic Efficacy, Post Tourniquet Release Analgesia and Side Effects of Ropivacaine 0.2% & Lignocaine 0.5% in Intravenous Regional Anesthesia for Hand Surgeries

Authors: A Gowri Shankar, Satish Logidasan, Arulraj G.P, Karthik.A, S Prasana Vathanan, Ambal S, C.Sathish, Karthick S R, Kanimozhi R

 DOI: https://dx.doi.org/10.18535/jmscr/v7i2.174

Abstract

Intravenous regional anaesthesia technique in which analgesia and muscle relaxation are produced by the injection of an adequate volume of local anaesthetic solution into vein of an extremity with inflow and outflow of the blood prevented by a tourniquet. Ropivacaine 0.2% in intravenous regional anaesthesia improved the anaesthetic efficacy, lengthened post tourniquet analgesia, reduced the amount of post operative rescue analgesia and had less side effects as compared to lignocaine 0.5% which has been proved statistically significant using quantitative and qualitative analysis.

References

  1. Holmes C. Intravenous regional analgesia: useful method of producing analgesia of the limb. Lancet 1963:1:245-247
  2. A. Ueber einen neuen Weg Arch Klin Chir 1908:86:1007-1016
  3. Sorbie C., Chancha P. Regional anaesthesia by the intravenous route, british medical journal/ 1965; 1:957-960
  4. Bell HM, slater EM, Harrris WH, Regional anesthesia with intravenous lignocaine , JAMA 1963; 186: 544-9
  5. Davies JAH, Gill SS, Weber JCP. Intravenous regional analgesia using bupivacaine, Anesthesia 1981;36:331
  6. Heath ML, Bupivacaine toxicity and Bier block. Anaesthesiology 1983; 59:481
  7. Duggan J Mcknown DW, Scott. DB. Venous pressure in intravenous regional anaesthesia Anesthesiology 1984:9,70-72
  8. Clarkeson & Hondegam LM, 1985: Anesthesiology 1985:62;396-405
  9. Clinical anesthesia Paul G Barash, Bruce f Cullen, Robert K Stoelting -5th
  10. Miller’s Anesthesia – Ronald D Miller, 7th
  11. Reiz S, Haggmark S , Johannsson G, Nath S. Cardiotoxicity of ropivacaine: a new amide local anesthetic agent, Acta Anaesthesiology scandanavica 1983; 38:93-8
  12. Tucker GT, Mather LE. Clinical Pharmacokinetics of local anesthetic 1979:4:241-278
  13. Raj PP, Garcia CE, Burleson JW, et al. The site of action of intravenous regional anesthesia. Anesthesiology and analgesia 1972;51:776-786
  14. Dunbar RW, Mazzle RI. Intravenous regional anesthesia, experience with 779 cases. Anaesth Analg 1967;46:806-13

Corresponding Author

Kanimozhi R

Department of Anesthesiology, Govt Stanley Medical College, TN- 600001, India

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