Quality of post-operative analgesia after epidural dexmedetomidine and ketamine: A comparative pilot study
نویسندگان
چکیده
Hip fractures are intensely painful, so post‐operative analgesia is an integral part of patient care for early rehabilitation and mobility.[1] Local anaesthetics with epidural additives ideally should provide stable haemodynamics and prolonged analgesia. There is limited literature comparing dexmedetomidine and ketamine as epidural additives. We conducted a study of continuous epidural infusion of bupivacaine plus dexmedetomidine comparing with bupivacaine plus preservative‐free (PF) ketamine in patients undergoing hip fracture surgeries to assess the quality of post‐operative analgesia.
منابع مشابه
Ketamine and levobupivacaine versus levobupivacaine alone for post operative analgesia and side effects in lower abdominal surgeries in children – A comparative study
Background: Different additive drugs such as opioids, epinephrine, clonidine, and neostigmine have been used along with local anaesthetics to improve the duration and quality of analgesia. Few studies have demonstrated the increase of efficacy in various aspects after combining dexmedetomidine and ropivacaine and dexmedetomidine to caudal bupivacaine in pediatric major abdominal cancer surgerie...
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1. Chin RP, Ho CH, Cheung LP. Scheduled analgesic regimen improves rehabilitation after hip fracture surgery. Clin Orthop Relat Res 2013;471:2349‐60. 2. Salgado PF, Sabbag AT, Silva PC, Brienze SL, Dalto HP, Módolo NS, et al. Synergistic effect between dexmedetomidine and 0.75% ropivacaine in epidural anesthesia. Rev Assoc Med Bras 2008;54:110‐5. 3. Saadawy I, Boker A, Elshahawy MA, Almazrooa A...
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Objectives: Caudal epidural analgesia is one of the most commonly performed regional techniques in paediatric anaesthesia for intra and post-operative analgesia.Various adjuvant like α-2 agonists, ketamine, opioids etc. have been used to prolong the caudal analgesia. With favourable results dexmedetomidine, has been popularly used. Here we intend to study two different doses, 1μg/kg which has b...
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