Intravenous regional anaesthesia using Tramodol hydrochloride and Ketorolac – A Comparative study

Multiple adjuvants had been added to improve the quality of intravenous regional anaesthesia (IVRA). The aim of this study was to compare the effect of tramadol hydrochloride with that of ketorolac as an adjuvant for lidocaine IVRA. This study was conducted at Mamata medical college, Khammam, Telangana state. Sixty patients of ASA grade I was included in this study. They were divided into 3 groups. The patents of group C were given 40ml of 0.5% lignocaine + 1 ml of Normal saline and patients of group K were given 40ml of 0.5% lignocaine + 1 ml of ketorolac (30mg) and group T were given 40ml of 0.5% lignocaine + 1 ml of tramadol hydrochloride (50mg) as intravenous regional anaesthesia using biers’ block. The onset time of sensory and motor block was not enhanced by addition of adjuvants. The grade of analgesia was slightly better with the tramadol and ketoral drugs. The tourniquet pain was better tolerated with both drugs. The duration of analgesia was significantly prolonged with both drugs. The VAS scores and patient comfort were better with the tramadol and ketorolac and they brought down the requirement of analgesics during first 24hours. We concluded that both drugs were good adjuvants to lidocaine in IVRA.