European Journal of Molecular & Clinical Medicine

Abstract

Introduction: Spinal anesthesia is the most commonly performed anesthetic technique for
lower limb, abdominal, perineum surgeries. It has been seen that multiple drugs are being
added to the local anesthetics in subarachanoid blockade which results in better
haemodynamic stability, increased duration of surgical analgesia and even provide post
operative analgesia. Here we did a case series of adding intrathecal dexmedetomidine to
hyperbaric bupivacaine in cases which were posted for infraumbilical surgery and lasted for
more than 2 hours. Even two cases lasted for more than 5 hours were done comfortabily with
addition of dexmedetomidine.Dexmedetomidine is a selective alpha 2 adrenoceptor agonist
which can be used in low doses and it prolongs sensory block in a dose dependent manner
without major haemodynamic effects. Patient also had significant post operative analgesia
which reduced the requirement of rescue analgesia and also resulted in early recovery of the
patient.