Indian Journal of Clinical Anaesthesia
  • Year: 2015
  • Volume: 2
  • Issue: 2

Efficacy of nitroglycerine as an adjuvant to intravenous regional anesthesia: a review of literature

  • Author:
  • Rakesh Kumar1, Ghansham Biyani2, Sadik Mohammed3,, Rakesh Karnawat4, Priyanka Sethi2, Vandana Sharma2
  • Total Page Count: 4
  • Page Number: 107 to 110

1Assistant professor, Department of anaesthesiology and critical care, Dr S N Medical College, Jodhpur

2Senior resident, Department of anaesthesiology and critical care, All India Institute of Medical Sciences, Jodhpur

3Assistant professor, Department of anaesthesiology and critical care, Dr S N Medical College, Jodhpur

4Professor, Department of anaesthesiology and critical care, Dr S N Medical College, Jodhpur

*Corresponding Author: E- mail: drmsadik@gmail.com

Online published on 6 July, 2015.

Abstract

Various adjuvants like opioids, alpha-2 agonists, steroids and many more drugs have been mixed with local anaesthetic (LA) solutions for Intravenous Regional Anaesthesia (IVRA). These drugs are added with the aim of hastening the onset of action and prolonging the duration of analgesia. They may also allow for a reduction in the total dose of LA used and related side effects. In this article, we have reviewed clinical trials using nitroglycerine (NTG) as an adjuvant to LA in IVRA and have summarized the advantages, disadvantages and current role of this drug. To the best of our knowledge, no meta-analysis, or review article has analysed the role of NTG as an adjuvant to Bier's block.

Keywords

Intravenous regional anaesthesia, Nitroglycerine, VAS score, Adjuvants for Bier's block