Effect of Intrathecal Dexmedetomidine as Adjuvant to Hyperbaric Bupivacaine for Total Abdominal Hysterectomy: A Double Blind Control Study

A. Jabbar, Kawsar Begum, R. Laila, K. Sardar, Raihan Uddin, Mushfiqur Rahman, Muslema Begum
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Abstract

Aims and Objectives: The aim of this study is to evaluate the effects of Dexmedetomidine as intrathecaladjuvant to Bupivacaine in spinal anaesthesia on the onset and duration of sensory and motor block inTotal Abdominal Hysterectomy (TAH). Materials and Method: Sixty patients of ASA status I and II posted for Total Abdominal Hysterectomywere randomly divided into three groups. Group C were administered Hyperbaric Bupivacaine 15mgplus 0.5 ml normal saline, Group D was administered Hyperbaric Bupivacaine 15mg + Dexmedetomidine10mg in 0.5 ml normal saline. Duration and quality of sensory and motor block were assessed. Results: Sensory and motor block in group D patients were longer than group C patients. Conclusion: Intrathecal dexmedetomidine when added to bupivacaine heavy (0.5%) provide better andprolonged analgesia. JBSA 2019; 32(1): 18-23
鞘内右美托咪定辅助高压布比卡因在全腹式子宫切除术中的作用:一项双盲对照研究
目的和目的:本研究的目的是评估右美托咪定作为脊髓麻醉布比卡因的鞘内辅助剂对全腹性子宫切除术(TAH)中感觉和运动阻滞的发生和持续时间的影响。材料与方法:择期行腹式全子宫切除术的ASA I、II级患者60例,随机分为3组。C组患者给予高压布比卡因15mg +生理盐水0.5 ml, D组患者给予高压布比卡因15mg +右美托咪定10mg,生理盐水0.5 ml。评估感觉和运动阻滞的持续时间和质量。结果:D组患者感觉和运动阻滞时间长于C组。结论:右美托咪定加0.5%布比卡因鞘内镇痛效果更好,镇痛时间更长。JBSA 2019;32 (1): 18 - 23
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