An Observational Study to Compare Fentanyl with Tramadol as an Adjuvant to Local Anaesthetic (Levobupivacaine) in Supraclavicular Brachial Plexus Block

Abstract

This study was undertaken to assess, safety and efficacy of fentanyl and tramadol as an adjuvant to Levobupivacaine in supraclavicular brachial plexus block. MATERIAL AND METHODS:The study was conducted on 60 patients belonging to American Society of Anaesthesiologists Class I and II, planned for elective surgery.The patients were randomly allocated in 2groups of 30 each.GROUP A received 40 ml of 0.25% Levobupivacaine with fentanyl 1μg/kg, GROUP B- 40 ml of 0.25% Levobupivacaine with Tramadol 1mg/kg. Onset of sensory and motor block,duration of sensory and motor block as well as duration of analgesia was measured. RESULTS:The onset and duration of sensory and motor block as well as duration of analgesia was significantly prolonged in tramadol group(p<0.0001). CONCLUSION:We concluded that Levobupivacaine with Tramadol hastens the onset of Sensory and Motor Block and prolongs the duration of Block and analgesia.