Indian Journal of Clinical Anaesthesia


Comparative study of lignocaine, bupivacaine alone and in combination in supraclavicular block


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Author Details: Ahsan Mustafa, Khaja Ali Hassan, Syed Abdur Rahman

Volume : 3

Issue : 2

Online ISSN : 2394-4994

Print ISSN : 2394-4781

Article First Page : 238

Article End Page : 242


Abstract

Introduction: Brachial plexus block, which involves blocking the nerve supply to upper limb, will effectively anaesthetize the upper extremity.
Material & Methods: The present study of "supraclavicular brachial plexus block using Bupivacaine was carried out at Owaisi Hospital and Research Centre, Deccan College of Medical Sciences from the period of March 2015 to August 2015. A total number of 60 patients were divided into three groups of 20 patients each. The patients scheduled to upper extremity surgery were selected for the study and undergone with supraclavicular brachial plexus block. After approval from Ethical committee, study was started.
Results: Combination of Lignocaine and Bupivacaine provided the advantages of rapid onset and prolonged duration of action. The short onset time due to Lignocaine minimized the waiting time for commencement of surgery and long duration of action due to Bupivacaine catered for prolonged surgery. The 100% success rate and excellent quality of block without the need for further supplementary anaesthesia gives the advantage for conducting long duration surgeries and in addition good Post operative analgesia is also achieved.
Conclusions: Thus we conclude that Lignocaine and Bupivacaine combination is superior to Individual drug given alone and it combines the better qualities of both the drugs.

Keywords
: Supraclavicular brachial plexus block, Lignocaine, Bupivacaine, Analgesia, Advantage