COMPARISION OF EFFICACY OF POST OPERATIVE ANALGESIA BY ULTRASOUND GUIDED BILATERAL ERECTOR SPINAE BLOCK USING 0.25 % LEVOPBUPIVACAINE WITH AND WITHOUT DEXMEDETOMIDINE IN ELECTIVE ADULT CARDIAC SURGERIES- RANDOMIZED DOUBLE BLINDED STUDY
Main Article Content
Keywords
Erector spinae block, elective cardiac surgeries, dexmedetomidine.
Abstract
Post operative pain after cardiac surgeries is not only due to sternotomy but also because of tissue damage, drains, thoracic-cage retraction. ESP block helps for postoperative analgesia and enhanced recovery after cardiac surgery.[1]
Aim of the study: To compare the efficacy of dexmedetomidine as an adjuvant to levobupivacaine in single shot erector spinae block.
Materials and Methods: A Prospective randomized controlled study done in 50 patients who have undergone various cardiac surgeries. Study population randomized into 2 groups, 25 in each group. (Group I is LD & Group II LP) at our institute. Pre-operative variables like age, gender, EF, EUROSCORE II. Intra operative variables like heart rate, systolic, diastolic, mean arterial pressure, SPO2, opioid requirement & muscle relaxant. Post operative variables like heart rate, systolic, diastolic, mean arterial pressure, SPO2, VAS, SS, inotropic score, opioid consumption, duration of mechanical ventilation, ICU stay, total chest drain, use of blood products, time for first rescue analgesia were compared between both groups.
Results: Total opioid requirement [ p=0.212], time for 1st rescue analgesia [p=0.380] i.e. total duration of analgesia was similar in both groups & were statistically insignificant.
Conclusion: Dexmedetomidine when used as an adjuvant to 0.25% levobupivacaine for bilateral single shot ESP block didn’t provide superior analgesia compared to without dexmedetomidine in adult elective cardiac surgical patients.
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Dr. Shaik. Nisa Shafaqh
Postgraduate, Narayana medical college doctors residential campus, nellore rural, chinthareddy palem, nellore 524003,Andhra pradesh, india. phone number: 9959665543,
Dr. Srikakulapu Vijaya Rekha
Assistant professor, Department and Institution: Department of Anaesthesiology, Narayana medical College and Hospital, Nellore, Andhra Pradesh, India
Dr. Harish Babu Ravulapalli
Professor, Department and Institution: Department of Anaesthesiology, Narayana medical College and Hospital, Nellore, Andhra Pradesh, India
Dr. A. Rajitha
Assistant professor, Department and Institution: Department of Anaesthesiology, Narayana medical College and Hospital, Nellore, Andhra Pradesh, India
Dr. K. Krishna Chaithanya
Professor, Department and Institution: Department of Anaesthesiology, Narayana medical College and Hospital, Nellore, Andhra Pradesh, India
