Effect of Addition of Cisatracurium to Lidocaine VS Plain Lidocaine

Time to onset of Sensory blockade.,Time to onset of Motor Blockade,Intraoperative Pain Scoring,Regression of sensory blockade,Regression of motor blockade,Postop Pain scoring,Time to first analgesic request post operatively.,Side Effects

The goal of this Randomized Control Trial is to compare the effects of addition of
 cisatracurium to lignocaine for IVRA Vs. Plain lignocaine in All ASA physical status I & II
 patients between 20 to 55 years of age, scheduled for elective hand surgery (carpal tunnel,
 trigger finger, tendon release, fracture reduction and tendon repair). The main question[s]
 it aims to answer are: • Does addition of Cisatracurium to plain lignocaine improve the
 overall quality of anesthesia? • Does use of cisatracurium lead to improved postop analgesia
 and decreased parenteral analgesic requirements? Participants will be Forty-four patients
 undergoing elective hand surgery during IVRA randomly assigned to two groups of 22 patients
 each. All demographic details (age, gender, body weight) will be noted, all will be briefed
 about visual analogue score (0 to 10) for pain. Group 1 (control group) will receive
 lidocaine 2% diluted with saline, group 2 (cisatracurium group) will receive cisatracurium
 plus lidocaine 2% diluted with saline. A standard technique would be employed for IVRA. The
 following parameters to be assessed: onset and offset of sensory and motor block,
 Intra-operative pain at 5, 10, 20, 30 minutes after tourniquet application by using visual
 analogue score (VAS), and postoperative pain using visual analogue score (VAS) measured at
 5-minute,1, 2, 4, 8 hours postoperatively.