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Indian Journal of Anesthesia and Analgesia

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A Comparative Study of Intrathecal Dexmedetomidine with 0.5% Bupivacaine and 0.5% Bupivacaine with Placebo in Lower Abdominal Surgeries

Naveed Ahmed, Assistant Professor, Dept. of Anaesthesia, Dr. BR Ambedkar Medical College, Bangalore, Karnataka 560045, India. , Naveed Ahmed1 , Shabbir Ali Jaferali Mulla2

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Indian Journal of Anesthesia and Analgesia 4(4):p 1040-1045, October-December 2017. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4417.21

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Abstract

Introduction: Spinal anaesthesia represents an attractive proposition for daycase anaesthesia, being associated with less postoperative nausea and vomiting (PONV) and better postoperative pain relief than general anaesthesia. However, significant concerns restrict the more widespread use of spinal anaesthesia for daycase procedures: the risk of PDPH (post dural puncture headache); the effect on bladder function; and delay in recovery of motor function. Methodology: This study was conducted on 60 patients between the age group of 18 to 60 years, of either sex, belonging to ASA grade I & II who were posted for elective lower abdominal, urological surgeries under spinal anesthesia .Only those patients were selected for the study from whom informed consent was obtained. Results: The time taken to achieve maximum sensory block in DB group was 5.20 minutes compared to 6.07 of PB group. In this regard the DB group is faster than PB group and this difference in attaining sensory block was statistically significant.The time taken to achieve maximum motor block in DB group was 5.57 minutes compared to 6.23 of PB group. In this regard the DB group is faster than PB group and this difference in attaining motor block was statistically significant. Conclusion: DB group is faster than PB group and this difference in attaining motor block was statistically significant.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4417.21

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Dexmedetomidine; Bupivacaine; Placebo. 

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