Comparison of Dexamethasone and Tramadol as Adjuvant to Levobupivacaine in Supraclavicular Block: A Clinical Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2019, Vol 6, Issue 11
Abstract
Background: Application of supraclavicular block mostly includes surgery of elbow, forearm, and hand. The present study was conducted to evaluate and compare dexamethasone and tramadol as an adjuvant to levobupivacaine in supraclavicular block. Materials and Methods: The present study was conducted on 60 patients of the American Society of Anaesthesiologists Grade I and II of age group of 18–60 years of either sex. Patients were divided into two groups: Group A (n = 30) in which 30 ml of 0.5% levobupivacaine hydrochloride plus 2 ml tramadol (100 mg) was administered and Group B (n = 30) in which 30 ml of 0.5% levobupivacaine hydrochloride plus 2 ml dexamethasone (8 mg) was administered. Both groups were compared statistically. Results: The mean age ± standard deviation in Group A males was 40.2 ± 12.45 years and in females was 41.3 ± 12.10 years and, in Group B, males was 42.1 ± 11.61 years and in females was 41.6 ± 11.33 years. The difference was non-significant (P > 0.05). We found significant difference in onset of sensory block, motor onset, duration of sensory block, motor block, duration of surgery, and duration of analgesia in both the groups (P < 0.05). Conclusion: Dexamethasone is a better adjuvant than tramadol when added to levobupivacaine in supraclavicular brachial plexus block for upper limb surgeries as it is faster in onset and it prolongs the duration of analgesia, sensory, and motor blockade and results in better satisfaction score.
Authors and Affiliations
Amar Prakash Kataria, Brij Mohan, Lakhwinder Singh
Keywords
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