Dexamethasone as an adjuvant to Bupivacaine: Lignocaine in supraclavicular brachial plexus block for patients undergoing upper limb surgery: A comparative study
Journal Title: International Journal of Medical and Health Research - Year 2019, Vol 5, Issue 1
Abstract
Introduction: Use of adjuvant prolongs the brachial plexus block. Local anesthetics with various adjuvants are used to increase the duration of postoperative analgesia in supraclavicular brachial plexus block. Perineural injection of steroid is known to influence postoperative analgesia. Aim: Aim is to compare the onset and duration of analgesia of local anaesthetics with and without dexamethasone in supraclavicular brachial plexus block. Materials and Methods: Fifty adult patients undergoing below elbow surgeries of upper limb under nerve stimulator guided supraclavicular brachial plexus block were selected and randomly divided into two groups of 25 each. Group-I (Dexamethasone) patients received 36 ml of mixture of 2% lignocaine plus adrenaline (20ml), 0.5% bupivacaine (15ml) with dexamethasone 4mg (1ml). Group-II (saline) patients received 36 ml of mixture of 2% lignocaine plus adrenaline (20ml), 0.5% bupivacaine (15ml) with saline (1 ml). The onset of sensory block and duration of analgesia in two groups were compared and development of complications were observed. Study Design: Randomized Double Blind controlled study. Results: The two groups were comparable in demographic data. There was significantly faster onset of sensory blockade and prolonged duration of analgesia in the dexamethasone group than the saline group. There were no significant side effects. Conclusion: Addition of dexamethasone as an adjuvant to local anesthetics in brachial plexus block provides in significantly early-onset and markedly prolonged duration of analgesia without hemodynamic disturbances.
Authors and Affiliations
Dr. Sanjul Dandona, Dr. CMS Rawat
Keywords
Related Articles
- EP ID EP581929
- DOI -
- Views 155
- Downloads 0
A survey based evaluation and assessment of satisfaction and continuance of patients wearing fixed partial dentures
Background: Satisfaction is an imperative component in assessing the achievement rate of a treatment. Fixed partial denture (FPD) is characterized as a partial denture that is cemented to natural teeth or roots which fur...
Assessment of breast feeding intervention on infant health
Medical professionals hold the responsibility of spreading evidence-based scientific practices for promoting correct infant feeding. The need to assess and improve the knowledge by educational intervention among the medi...
Anatomical study of sternalis muscle in cadaveric dissection
Teenage pregnancy and early child care: Implication for health education/counselling in cross River state
Study of lateral thoracic artery in cadaveric in Patna medical college
The lateral thoracic artery is a branch of the second part of the axillary artery. The lateral thoracic artery originates from the medial surface of the axillary artery, posterior to the distal part of pectoralis minor....
Study of coronary artery in cadaver hearts: Morphological Aspects
The knowledge about the number, length and depth of myocardial can help in identifying the people at risk. With the above background, the present study has been undertaken to study the prevalence of myocardial bridges in...