COMPARISON BETWEEN 0.5% BUPIVACAINE + DEXAMETHASONE COMBINATION AND 0.5% BUPIVACAINE + CLONIDINE COMBINATION IN BRACHIAL PLEXUS BLOCK BY SUPRACLAVICULAR APPROACH USING ULTRASOUND-GUIDED TECHNIQUE

Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 73

Abstract

BACKGROUND Brachial plexus blocks, alone or in combination with general anaesthesia has become one of the most important anaesthesia techniques for surgeries in the upper limb. Prolongation of analgesia using perineural catheters are not yet popular and we are in need for adjuvant that can prolong the action of local anaesthetics after single injection peripheral nerve blocks. Dexamethasone and clonidine are two commonly used adjuvants. This study was undertaken to compare the analgesic efficacy of dexamethasone and clonidine. MATERIALS AND METHODS Ninety adult patients fitting under the inclusion criteria were assigned to 3 groups of 30 each and received ultrasound-guided supraclavicular brachial plexus block. They received either dexamethasone 8 mg (group D) or clonidine 1 mcg/kg (group C) or saline 2 mL (group S) with 15 mL of 0.5% bupivacaine. The onset of sensory and motor blocks, duration of analgesia and the duration of motor block were assessed. RESULTS The onset of sensory and motor block were comparable in all the three groups (17.50 ± 2.86 minutes and 30.33 ± 4.14 minutes; 17.17 ± 3.13 minutes and 31.0 ± 4.8 minutes; 18.33 ± 3.55 minutes and 31.0 ± 5.48 minutes for groups D, C and S, respectively. The duration of analgesia and motor blockade was markedly prolonged in dexamethasone group (19.41 ± 2.60 hours and 17.19 ± 2.13 hours) and moderately prolonged in clonidine group (11.49 ± 1.66 hours and 10.41 ± 1.18 hours) when compared to saline group (7.56 ± 1.65 hours and 6.22 ± 1.43 hours). CONCLUSION Dexamethasone proves to be a better adjuvant compared to clonidine as it considerably prolongs analgesia and is devoid of significant side effects. But, the prolonged motor block is still a matter of concern and these arch for adjuvant that selectively prolongs analgesia without impairing motor function continues.

Authors and Affiliations

Yadhuraj M. K, Narasimha Reddy, Vinay D. M, Akhil Rao U. K

Keywords

Related Articles

A RARE CASE OF OPTIC NEURITIS BY RELAPSE OF CHOROIDAL TUBERCULOMA

PRESENTATION OF THE CASE Solitary choroidal tuberculoma is a rare disease which possesses diagnostic and therapeutic challenges. There is a dearth of literature discussing its presentation and outcome. We present a 28 ye...

SONOGRAPHY SPECTRUM OF 200 SOLID BREAST NODULES - A CROSS SECTIONAL ANALYSIS

INTRODUCTION We evaluated the sonographic spectrum of breast nodules from a database of diagnostic USG. METHODS A total of 200 solid breast nodules in women who underwent sonography were included. The indications for bre...

THORACO-LUMBAR INJURY WITH COMPLETE OR INCOMPLETE PARAPLEGIA

BACKGROUND Thoraco-lumbar fractures can result in instability or compression of neural structures and may be associated with disruption of the ligamentous complexes. The aim of the study was to check the surgical outcome...

A COMPARATIVE STUDY OF BUPIVACAINE WITH MIDAZOLAM AND BUPIVACAINE ALONE IN BRACHIAL PLEXUS BLOCKADE

BACKGROUND Regional anaesthesia as the name implies is the blocking of peripheral nerve conduction in a reversible manner by using local anaesthetic agents, thereby one region of the body is made insensitive to pain and...

PREVALENCE OF IRRITABLE BOWEL SYNDROME IN COLLEGE STUDENTS AND ASSOCIATION WITH ANXIETY, DEPRESSION AND FODMAP DIET

Irritable bowel syndrome (IBS) is the most common functional gastro-intestinal disorder. The data regarding the prevalence of IBS in young adults is limited along with its association with anxiety and depression in a com...

Download PDF file
  • EP ID EP283402
  • DOI 10.18410/jebmh/2017/865
  • Views 111
  • Downloads 0

How To Cite

Yadhuraj M. K, Narasimha Reddy, Vinay D. M, Akhil Rao U. K (2017). COMPARISON BETWEEN 0.5% BUPIVACAINE + DEXAMETHASONE COMBINATION AND 0.5% BUPIVACAINE + CLONIDINE COMBINATION IN BRACHIAL PLEXUS BLOCK BY SUPRACLAVICULAR APPROACH USING ULTRASOUND-GUIDED TECHNIQUE. Journal of Evidence Based Medicine and Healthcare, 4(73), 4343-4347. https://europub.co.uk/articles/-A-283402