Comparative study of effect of clonidine with lignocaine and lignocaine alone infiltration in middle ear surgeries
Background: Middle ear surgeries are performed under either local or general anaesthesia. Many advantages have been reported with the local anaesthetic techniques. Objectives: To compare the effectiveness of clonidine with lignocaine and lignocaine alone infiltration for middle ear surgeries with re...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Al Ameen Medical College
2025-01-01
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| Series: | Al Ameen Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://ajms.alameenmedical.org/ArticlePDFs/12%20AJMS%20V18.N1.2025%20p%2066-70.pdf |
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| Summary: | Background: Middle ear surgeries are performed under either local or general anaesthesia. Many advantages have been reported with the local anaesthetic techniques. Objectives: To compare the effectiveness of clonidine with lignocaine and lignocaine alone infiltration for middle ear surgeries with respect to duration of analgesia, pain score & surgeon’s satisfaction. Methodology: 66 adult patients undergoing elective middle ear surgeries were divided into two groups, study group A (n=33) and control group B (n=33). 15ml of local anaesthesia infiltrated at posterior auricular area and between tragus and helix using 2% lignocaine with 1 in 200000 dilution of adrenaline with 30mcg of clonidine hydrochloride for study group A and 15ml of 2% lignocaine with 1 in 200000 dilution of adrenaline with 0.2ml normal saline given for control group B by the surgeon, after confirming successful blockade, procedure started. Patients were asked to rate intraoperative pain using visual analogue scale consisting of scoring from 1 to 10. Surgeon satisfaction scores were assessed using Likert scale consisting of scoring from 1 to 7. Results: Demographic data were comparable in both the groups. Duration of analgesia was significantly higher in group A compared to group B. The surgeon satisfaction was better in group A than Group B. SBP and DBP found significantly higher in group B compared to group A. Conclusion: Duration of analgesia and surgeon satisfaction were better in clonidine as adjuvant compared with lignocaine with adrenaline alone infiltration, with well-maintained haemodynamic. |
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| ISSN: | 0974-1143 |