Brachial Plexus bock with bupivacaine: Effects of added alpha adrenergic agonist clonidine & comparison with Epinephrine. A randomised control study

Volume : VII, Issue : VII, July - 2018

Dr Apurv Mahalle, Dr Dhiraj Bhandari, Dr Himanshu Dongre, Dr Sucheta Tidke

Supraclavicular achial plexus block is one of the most commonly employed regional anesthesia technique & is

often described as �Spinal anesthesia of Upper limb�. Bupivacaine is one of the commonly used local anesthetic

used for plexus anesthesia as it has long duration of action, however many additives have been tried in various studies in the search to

decrease the latency of its onset of neural blockade as well as to increase its duration of analgesia, thereby improving the efficacy of

peripheral neural blocks. We therefore studied the effect of clonidine 150 micrograms when added as an adjunct to bupivacaine for

supraclavicular achial plexus block in comparison with Bupivacaine combined with Epinephrine and Bupivacaine alone, in a rural tertiary

care medical institute. We found that addition of clonidine provides rapid onset of anesthesia along with prolonged sensory, motor

blockade and prolonged duration of analgesia without any signi􀃶cant side effects as compared to 2.025% bupivacaine with epinephrine or

0.25% Bupivacaine alone.