Malik Jamil Ahmad, Muhammad Nasir, Khawar Latif.
Bier`s block; comparison of lignocaine vs lignocaine + ketorolac.
Professional Med J Jan ;15(1):1-4.

Objective: To compare the duration of anaesthesia and degree of analgesia during intravenous regional anaesthesia using lignocaine alone and lignocaine with ketorolac. Design: This international quasi experimental study Setting: Nishtar Hospital, Multan. Period: Six months (from June 2004 to November 2004). Material and Methods: Patients with known allergy to local anaesthesia or keteroloca and with hepatic, renal disease were not included in the study. Results: Mean pain score at 0,1,2,3,4,5,6 in both groups after release of tourniquet. The quality of analgesia observed in both groups showed that 20 patients in lignocaine + ketorolac group had excellent analgesia compared with only 4 patients in lignocaine group. Tourniquet pain was not experienced in any patient in both groups; owing most probably to the inflation of distal tourniquet cuff on the anaesthetized part of the arm with release of proximal tourniquet, 10 minutes after injection of solution. Conclusion: It is concluded that 30 mg ketorolac ad ded to lignocaine in IVRA increases degree of anaesthesia and also provides prolonged postoperative analgesia.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com