Background. This study was conducted to compare and evaluate the effect of adding lornoxicam or nitroglycerine as adjuncts to\nlidocaine in intravenous regional anesthesia (IVRA). Methods. 60 patients were randomly separated into three groups, lidocaine\ngroup (group L), lidocaine + lornoxicamgroup (group LL), and lidocaine + lornoxicam+ transdermal nitroglycerine group (group\nLL-N). Hemodynamic parameters, sensory and motor blocks onset, and recovery times were recorded. Analgesic consumption\nfor tourniquet pain and postoperative period were recorded. Results. Sensory block onset times andmotor block onset times were\nshorter in the LL-N and LL groups compared with L group. Sensory block recovery time and motor block recovery time were\nprolonged in the LL and LL-N groups compared with group L. The amount of fentanyl required for tourniquet pain was less in\ngroup LL and group LL-N when compared with group L. VAS scores of tourniquet pain were higher in group L compared with the\nother study groups. Postoperative VAS scores were higher for the first 4 hours in group L compared with the other study groups.\nConclusion. The adjuvant drugs (lornoxicam or TNG) when added to lidocaine in IVRA were effective in improving the overall\nquality of anesthesia, reducing tourniquet pain, increasing tourniquet tolerance, and improving the postoperative analgesia.
Loading....