Comparison of ropivacaine 0.5% with dexmedetomidine and clonidine as adjuvants in ultrasound-guided infraclavicular brachial plexus block for upper limb surgery

Background: The Institutional Ethics Committee and patients' informed written consent were obtained before this study was carried out in the Department of Anaesthesiology at Sardar Patel Medical College Bikaner, Rajasthan. An established method for delivering anaesthesia analgesia during upper limb surgery is brachial plexus block. For peripheral nerve blocks, ropivacaine, a long-acting amide with safe cardiac profile, chosen. It has been proven that different adjuncts may be added to LA solutions boost their effectiveness longevity while lowering overall dose utilised minimising any systemic side effects. Our goal assess adjuvants such as dexmedetomidine clonidine comparison 0.5% ropivacaine an infraclavicular block under USG guidance. Method: Fifty adult patients planned elective upperlimb guidance included. All research participants split into two groups random. In D C, respectively, used ropivacaine. main compare postoperative analgesic duration both groups, well onset sensory motor Patients monitored complications connected medicine procedure hemodynamic indicators also compared. Results: Group D's action initiation time substantially quicker than group C's (p 0.001). When compared durations considerably longer value Conclusion: Dexmedetomidine more effective adjuvant when given guided by USG.