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Indian Journal of Clinical Anaesthesia


EFFICACY OF NITROGLYCERINE AS AN ADJUVANT TO INTRAVENOUS REGIONAL ANESTHESIA: A REVIEW OF LITERATURE


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Author Details: Rakesh Kumar, Ghansham Biyani, Sadik Mohammed, Rakesh Karnawat, Priyanka Sethi, Vandana Sharma

Volume : 2

Issue : 2

Online ISSN : 2394-4994

Print ISSN : 2394-4781

Article First Page : 107

Article End Page : 110


Abstract

IMPLICATION STATEMENT:
Various adjuvants like opioids, alpha-2 agonists, steroids and many more drugs have been mixed with local anaesthetic (LA) solutions for Intravenous Regional Anaesthesia (IVRA). These drugs are added with the aim of hastening the onset of action and prolonging the duration of analgesia. They may also allow for a reduction in the total dose of LA used and related side effects. In this article, we have reviewed clinical trials using nitroglycerine (NTG) as an adjuvant to LA in IVRA and have summarized the advantages, disadvantages and current role of this drug. To the best of our knowledge, no meta-analysis, or review article has analysed the role of NTG as an adjuvant to Bier’s block.

Keywords: Intravenous regional anaesthesia, Nitroglycerine, VAS score, Adjuvants for Bier’s block.