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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Efficacy of Lignocaine versus Lignocaine + Butorphanol in Intravenous Regional Anaesthesia for Prolongation of Post‐Operative Analgesia in Patients Undergoing Upper Limb Surgery‐A Comparative Study

Shivakumar. G, Kiran A. V., S. R. Divakar, A. Soundarya and Upasana Tiwari
Page: 173-180 | Received 02 Oct 2023, Published online: 24 Nov 2023

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https://doi.org/10.36478/10.59218/makrjms.2023.11.173.180

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Abstract

Intravenous regional anaesthesia (IVRA) is a simple technique of regional anaesthesia where local anaesthetic is injected into exsanguinated vascular space with use of pneumatic tourniquet and injecting local anaesthetic as distal as possible to the tourniquet. In present study, we use inj. butorphanol 1 mg as additive to lignocaine. Butorphanol is a synthetic opioid an agonist‐antagonist. It has low affinity for μ receptors to produce antagonism, moderate affinity for κ receptors. After obtaining approval from institutional ethical committee and consent of patients satisfying inclusion criteria, patients who are posted for elective upper limb surgeries lasting <1 hrs were assigned into two groups by randomization based on allocation sequence by computer generated random number tables. Group 1‐0.5% lignocaine with 1 mg butorphanol of volume 40 mL Group 2‐0.5% lignocaine alone of volume 40 mL patients were kept nil per oral status overnight and pre‐medicated with capsule omeprazole 20 mg and Tablet alprazolam 0.25 mg the night prior to surgery and on the morning of surgery. We compared the duration of administration of rescue analgesic in postoperative period using SPSS software using paired t‐test. Mean recovery time from sensory block, in group L was 85.08 mins and 111.4 mins in group LB. p‐value is found to be statistically significant. Mean time for recovery from motor block is 64.04 mins in group L and 90.12 mins in group LB, p‐value was <0.01 signifying statistically. Intravenous regional anaesthesia, butorphanol, post operative analgesia.

How to cite this article:

Shivakumar. G, Kiran A. V., S. R. Divakar, A. Soundarya and Upasana Tiwari. Efficacy of Lignocaine versus Lignocaine + Butorphanol in Intravenous Regional Anaesthesia for Prolongation of Post‐Operative Analgesia in Patients Undergoing Upper Limb Surgery‐A Comparative Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.11.173.180
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.11.173.180