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 60
- Downloads 0
Quorum Sensing (QS) As Etiological Phenomenon: The Bacterial Paradigm
Signaling mechanisms that govern physiological and morphological responses to change the cell density are common in bacteria. Quorum sensing is signal transduction processes which involves the production and release of a...
Efficacy of Yoga and Swimming in Reducing Anxiety: A Comparative Study
Different exercise modules and yogic practices have been claimed to reduce anxiety. However, there are very few longitudinal studies to assess and to compare improvement in mental health of subjects performing yogic asan...
Functio-Esthetic Rehabilitation in Severe Hypodontia: an Interdisciplinary Approach
Full mouth rehabilitation in cases of severe hypodontia remains a clinical challenge and requires a meticulous interdisciplinary approach to obtain desirable results. Early diagnosis, and comprehensive treatment plannin...
Study of Variations in Pattern of Calcaneal Articular Facets in Human Tali in the Population of Rajasthan (India).
Talus (astragalus) is the second largest tarsal bone. It has no muscular or tendinous attachment. It takes part in the formation of various articulations in the form of talocrural , talocalcaneonavicular or subtalar join...
Serum HbA1c level and Central Macular Thickness in Diabetic Cystoid Macular Edema
A randomized, prospective, interventional comparative study was conducted in 60 eyes of 30 diabetic patients with diabetic cystoid macular edema for 16 months. The eyes were categorized as Group A consisting 30 eyes of...