DOI: 10.36347/sjams.2018.v06i06.034

Pages: 2486-2492

Regional anaesthesia may be defined as the application of a local anaesthetic agents to a nerve trunk far away from the affected site to block the nerve impulses reversibly to the part innervated. Peripheral nerve block have an increasingly important role in ambulatory anaesthesia and have many characteristic of the ideal outpatient anaesthetic: surgical anesthesia, prolonged postoperative analgesia and facilitated discharge. This double blinded study compare the use of Fentanyl along with local anaesthetic agent Lignocaine and saline for duration of sensory blockade and analgesia. A total number of 100 patients who were scheduled for elective hand and forearm surgeries were studied .Group A includes (n=50) 1.5% adrenalinized (1 in 2,00,000) Lignocaine + 2ml normal saline and Group B (n=50) includes 1.5% adrenalinized (1 in 2,00,000) Lignocaine + 1.5µg/kg Fentanyl. The patients were premedicated with an IM injection of 0.5 mg Atropine and Midazolam 0.04mg/kg 30 minutes before bringing into the operating room. A peripheral nerve stimulator with a 24-gauge 7 cm Sprotte needle was used for precise localization of each nerve. We used multiple stimulations technique in all of the patients.