A Clinical Comparison between 0.5% Ropivacaine and 0.5% Ropivacaine with Dexamethasone 8mg Combination in Brachial Plexus Block by Supra Clavicular Approach
Journal Title: People's Journal of Scientific Research. - Year 2018, Vol 11, Issue 2
Abstract
Dexamethasone as an adjuvant to bupivacaine for supraclavicular brachial plexus (SCBP) block prolongs motor and sensory blockade. However, the effect of dexamethasone (8 mg) when added to Ropivacaine has not been well studied. This study was conducted to find out analgesic efficacy of dexamethasone as adjuvant to Ropivacaine in SCBP block. Ultrasound .guided SCBP block was given to eighty patients, randomly assigned into two groups. Group R (forty patients) - received 2 mL normal saline with 30 mL Ropivacaine (0.5%) and Group D (forty patients) received 2 mL of dexamethasone (8 mg) with 30 mL of Ropivacaine (0.5%), respectively. Time for the first rescue analgesia, number of rescue analgesics required in 24 h and different block characteristics was assessed. Chi square test and Student's t test were used for statistical - - analysis. Time for request of the first rescue analgesia was 400.13 ± 109.42 min in Group R and 700.80 ± 121.46 min in Group D (p < 0.001). The requirement for rescue analgesics was more in Group R when compared to Group D. The onset of sensory and motor block was faster in Group D when compared to Group R. The mean duration of sensory and motor block was significantly longer in Group D than Group R. The addition of dexamethasone to Ropivacaine in SCBP blockade prolonged time for first rescue analgesia and reduced the requirement of rescue analgesics with faster onset and prolonged duration of sensory and motor block.
Authors and Affiliations
Saurabh Kulshreshtha,, Dr Ritu Gupta
Keywords
Related Articles
- EP ID EP397435
- DOI -
- Views 94
- Downloads 0
[sub][/sub]Role of Granulocyte Colony Stimulating Factor (G-Csf) in Neonatal Sepsis with Neutropenia
Randomized controlled double blind trial was done at NICU, Department of Pediatrics, MLB Medical College, Jhansi to determine whether adjunctive therapy with G-CSF could reverse sepsis associated neonatal neutropenia a...
Acanthamoeba Keratitis – A case report
Acanthamoeba Keratitis (AK) is a serious sight threatening infection of the cornea. We report here a case of Acanthamoeba keratitis in a young healthy male. He presented to us with a history of minor trauma in his left e...
Biology of Receptor Activator of Nuclear Factor Kappa-B Ligand (RANKL) and Osteoprotegerin (OPG) in Periodontal Health and Disease - A Review
Periodontitis is a destructive disease that targets tooth-supporting structures through complex and multifactorial pathogenic processes. Alveolar bone destruction, a hallmark of periodontitis progression and one of the m...
Impaction of the Maxillary Central Incisor Associated with Supernumerary Tooth: Surgical and Orthodontic Treatment
Impaction of maxillary permanent incisor is not a frequently case in dental practice, but its treatment is challenging because of its importance to facial esthetics. Supernumerary teeth are the main cause of impaction of...
Cutaneous Intravascular Papillary Endothelial Hyperplasia of the Forearm : A Case Report
Intravascular papillary endothelial hyperplasia (IPEH) or reactive vascular endothelial lesion is a rare benign condition and is also known as Masson’s haemangioma. Blood vessel injury or venous thrombosis may predispose...