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Intravenous Regional Anaesthesia on Comparative Effects of Fentanyl and Magnesium Sulphate as Ropivacaine Adjuvants for Upper Limb Surgeries
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Author(s): R. M. Mulla (Krishna Vishwa Vidyapeeth, India), Vithal K. Dhulkhed (Krishna Institute of Medical Sciences, India), Soudamini Gandhi (Krishna Institute of Medical Sciences, India)and Agus Sudaryanto (Universitas Muhammadiyah Surakarta, Indonesia)
Copyright: 2024
Pages: 11
Source title:
Advancements in Clinical Medicine
Source Author(s)/Editor(s): P. Paramasivan (Dhaanish Ahmed College of Engineering, India), S. Suman Rajest (Dhaanish Ahmed College of Engineering, India), Karthikeyan Chinnusamy (Veritas, USA), R. Regin (SRM Instıtute of Science and Technology, India)and Ferdin Joe John Joseph (Thai-Nichi Institute of Technology, Thailand)
DOI: 10.4018/979-8-3693-5946-4.ch011
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Abstract
An established method for managing pain during upper limb procedures is intravenous regional anaesthesia or IVRA. The adjuvants are chosen for IVRA significantly impact the duration and effectiveness of regional anaesthesia. This study was piloted to compare the effects of two adjuvants given to ropivacaine in IVRA for upper limb surgeries: magnesium sulphate and fentanyl. A cohort of sixty patients scheduled for hand surgery participated in this prospective study. Two separate groups of subjects were assigned to these subjects: Cluster RF (n = 30) received 0.2% ropivacaine mixed with fentanyl, and Cluster RM (n = 30) received 0.2% ropivacaine mixed with magnesium sulphate. The study evaluated the need for postoperative analgesia at the outset and the duration and start of sensory and motor blockage.
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