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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Al Ameen Medical College
2025-01-01
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| author | Manjunatha Chandrashekar S.N. Rajesh K.J. Vedhashree Prakash Handi Sunil Khyadi |
| author_facet | Manjunatha Chandrashekar S.N. Rajesh K.J. Vedhashree Prakash Handi Sunil Khyadi |
| author_sort | Manjunatha Chandrashekar |
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| description | 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. |
| format | Article |
| id | doaj-art-9f44b8faf8624ec08722bcd99de16c0a |
| institution | Kabale University |
| issn | 0974-1143 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Al Ameen Medical College |
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| series | Al Ameen Journal of Medical Sciences |
| spelling | doaj-art-9f44b8faf8624ec08722bcd99de16c0a2025-01-11T12:29:44ZengAl Ameen Medical CollegeAl Ameen Journal of Medical Sciences0974-11432025-01-0118016670Comparative study of effect of clonidine with lignocaine and lignocaine alone infiltration in middle ear surgeriesManjunatha Chandrashekar0S.N. Rajesh1K.J. Vedhashree2Prakash Handi3Sunil Khyadi4Department of Anesthesiology, ESIC Medical College and Hospital, Sanath Nagar, Hyderabad-500038, Telangana, IndiaDepartment of Anesthesiology, ESIC Medical College and PGIMSR, Rajajinagar, Bengaluru-560010, Karnataka, IndiaDepartment of Anesthesiology, ESIC Medical College and PGIMSR, Rajajinagar, Bengaluru-560010, Karnataka, IndiaDepartment of ENT, ESIC Medical College Hospital, Sedam Road, Kalaburagi-585106, Karnataka, IndiaDepartment of Anesthesiology, Al Ameen Medical College, Athani Road, Vijayapur-586108, Karnataka, IndiaBackground: 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.https://ajms.alameenmedical.org/ArticlePDFs/12%20AJMS%20V18.N1.2025%20p%2066-70.pdfclonidinelignocaineadrenalinemiddle ear surgeries |
| spellingShingle | Manjunatha Chandrashekar S.N. Rajesh K.J. Vedhashree Prakash Handi Sunil Khyadi Comparative study of effect of clonidine with lignocaine and lignocaine alone infiltration in middle ear surgeries Al Ameen Journal of Medical Sciences clonidine lignocaine adrenaline middle ear surgeries |
| title | Comparative study of effect of clonidine with lignocaine and lignocaine alone infiltration in middle ear surgeries |
| title_full | Comparative study of effect of clonidine with lignocaine and lignocaine alone infiltration in middle ear surgeries |
| title_fullStr | Comparative study of effect of clonidine with lignocaine and lignocaine alone infiltration in middle ear surgeries |
| title_full_unstemmed | Comparative study of effect of clonidine with lignocaine and lignocaine alone infiltration in middle ear surgeries |
| title_short | Comparative study of effect of clonidine with lignocaine and lignocaine alone infiltration in middle ear surgeries |
| title_sort | comparative study of effect of clonidine with lignocaine and lignocaine alone infiltration in middle ear surgeries |
| topic | clonidine lignocaine adrenaline middle ear surgeries |
| url | https://ajms.alameenmedical.org/ArticlePDFs/12%20AJMS%20V18.N1.2025%20p%2066-70.pdf |
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