Volume : 7, Issue : 4, April - 2018

A COMPARATIVE STUDY TO EVALUATE THE EFFECT OF MAGNESIUM SULPHATE AND NORMAL SALINE AS AN ADJUVANT TO 0.5% ROPIVACAINE ON SENSORY, MOTOR AND POSTOPERATIVE ANALGESIA IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCKADE

Dr. Ashish Mathur, Dr. Lal Praveen Singh

Abstract :

<p class="MsoNormal" style="text-align:justify;line-height:115%"><b><span style="font-size:14.0pt;line-height:115%;color:black;text-transform:uppercase">AIMS AND OBJECTIVES: </span></b><span style="font-size:14.0pt;line-height:115%;&#10;color:black;mso-bidi-language:HI">To evaluate and compare the onset and duration of sensory and motor blockade and efficacy in prolonging postoperative analgesia<span style="mso-spacerun:yes">&nbsp; </span>of 0.5% ropivacaine with Magnesium sulphate in supraclavicular achial plexus blockade and to observe undesirable effects and complications of drug used<b style="mso-bidi-font-weight:&#10;normal">. </b></span><b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt;line-height:115%;color:black">MATERIAL AND METHOD</span></b><span style="font-size:14.0pt;line-height:115%;color:black">: 60<span style="mso-spacerun:yes">&nbsp; </span>patients ASA grade I &amp; II undergoing elective upper limb surgery under supraclavicular achial plexus blockade . Patients were classified randomly into 2 groups (thirty patients in each group). </span><span style="font-size:14.0pt;line-height:115%;color:black;&#10;mso-bidi-language:HI">Group R<span style="mso-spacerun:yes">&nbsp; </span>patients received 30 ml of 0.5% ropivacaine with 0.5 ml normal saline and Group RM<span style="mso-spacerun:yes">&nbsp; </span>patients received 30 ml of 0.5% ropivacaine with 250 mg (0.5 ml) Magnesium sulphate</span><b><span style="font-size:14.0pt;&#10;line-height:115%;color:black"> . </span></b><span style="font-size:14.0pt;&#10;line-height:115%;color:black">And we </span><span style="font-size:14.0pt;&#10;line-height:115%;color:black;mso-bidi-language:HI">compare the onset and duration of sensory and motor blockade and efficacy in prolonging postoperative analgesia<span style="mso-spacerun:yes">&nbsp; </span>of 0.5% ropivacaine with Magnesium sulphate in supraclavicular achial plexus blockade and to observe undesirable effects and complications of drug used, if any. </span><b style="mso-bidi-font-weight:normal"><span style="font-size:14.0pt;line-height:&#10;115%;color:black">RESULT</span></b><span style="font-size:14.0pt;line-height:&#10;115%;color:black">: Analysis revealed that there were no significant differences between the patients with respect to age, sex, weight and duration and type of surgery. Onset of sensory and motor block<span style="mso-spacerun:yes">&nbsp; </span>fasten<span style="mso-spacerun:yes">&nbsp; </span>in RM group and duration of sensory and motor block is more prolong in RM group as compare to R group . Time of rescue analgesia was more in group RM as compare to group R. There was no complication in both the groups. <b style="mso-bidi-font-weight:normal">CONCLUSION</b>:</span><span style="font-size:14.0pt;line-height:115%;color:black;mso-bidi-language:HI"> Magnesium sulphate</span><span style="font-size:14.0pt;line-height:115%;&#10;color:black"> when added to ropivacaine fastens the onset of sensory and motor blockade , prolongs the duration of sensory and motor blockade and prolonged the time for rescue analgesia without any side effect.<b><u><span style="text-transform:uppercase"><o:p></o:p></span></u></b></span></p>