目的:比较右美托咪定与克拉定在全腹子宫切除术患者鞘内布比卡因辅助下术后的镇痛效果

Dr. Rupesh Choudhary, Dr. Rahul Sharma, Dr. Ankita Jamwal, Dr. Divya Drishti
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引用次数: 0

摘要

背景:脊柱阻滞是下腹部手术的首选。布比卡因是最常用的局部麻醉剂,但作用时间较短。许多辅助药物被用于改善术后镇痛质量。在这项研究中,我们使用了2-受体激动剂。方法:在Kamla Nehru国立医院IGMC SHIMLA麻醉科进行前瞻性随机单盲研究。结果:凡达到VAS ?4级的患者均采用注射PCM 1gm作为抢救镇痛药。术后24小时内,C组10例患者注射PCM, D组8例,C组5例,D组2例,C组4例,D组5例,注射PCM 3次。(p = 0.693)。结论:术后应采用抢救性镇痛。
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To Compare the Rescue Analgesia used in Post-Operative Period of Dexmedetomidine and Clonidine as an Adjuvant to Intrathecal Bupivacaine in Patients Undergoing Total Abdominal Hysterectomy
Background: Spinal block is the first choice for lower abdominal surgeries. Bupivacaine is the most common local anaesthetic used but has a shorter duration of action. Many adjuvants have been used to improve the quality of analgesia till postoperative period. In this study, we used ?2-agonists. Methods: A prospective randomized single blind study was conducted in the Department of Anaesthesia IGMC SHIMLA at Kamla Nehru state hospital. Results: Injection PCM 1gm was used as rescue analgesic if VAS ?4 was achieved in any patient. In Group C 10 patients received Inj PCM as compared to 8 patients in Group D. One patient in each group received 1 dose, 5 in Group C and 2 in Group D received 2 doses and 4 in Group C and 5 in Group D received 3 doses of Inj PCM in 24 hrs postoperative period. (p=0.693). Conclusion: We concluded that the rescue Analgesia used in post operative period.
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