Comparison of motor blockade, sensory blockade and duration of analgesia between dexmedotomidine and dexamethasone as an adjuvant to bupivacaine in axillary block
Journal Title: Indian Journal of Clinical Anaesthesia - Year 2018, Vol 5, Issue 3
Abstract
Introduction Axillary block with Bupivacaine mixed with adjuvants like dexmedetomidine a more selectivealpha2 adrenoreceptor agonist induces faster onset of blockade delays the absorption of local anaesthetic and prolongs its action Steroid adjuvants like dexamethasone can decrease inflammation at the same time demonstrated prolonged analgesic effect The study aimed at comparing the efficacy of these adjuvants in affecting regional block onset and durationMaterials and Methods This Randomized uncontrolled single blinded twoarm concurrent parallel trial was conducted during January to March 2017 among 60 participants posted for forearm and hand surgeries randomly allocated into two groups viz Group A 30 subjects given a mixture 30ml of Bupivacaine 025 and Dexamethasone 8mg and Group B 30 subjects given 30ml a mixture 30ml of Bupivacaine 025 and 1 ml of dexmedotomidine 100g The intra and postoperative outcomes of the two groups were compared statisticallyResults The onset of motor and sensory blockade was significantly pConclusion Dexmedotomidine when compared with Dexamethasone used as an adjuvant to Bupivacaine in axillary block for forearm and hand surgeries showed marked efficacy in terms of earlier onset of action prolonged blockade and longer duration of postoperative analgesia Keywords Bupivacaine Axillary block Dexmedotomidine Dexamethasone
Authors and Affiliations
Arun Kumar. J, Gunaseelan S
Keywords
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- EP ID EP476517
- DOI 10.18231/2394-4994.2018.0081
- Views 99
- Downloads 0
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