EFFECT OF ADDITION OF DEXAMETHASONE TO ROPIVACAINE IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK: A PROSPECTIVE, RANDOMISED, DOUBLE-BLIND STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 33
Abstract
Addition of adjuvant has been widely used to prolong the duration of peripheral nerve block. We evaluated the effect of adding dexamethasone to ropivacaine in supraclavicular brachial plexus block. METHODS: Sixty patients of age group 18-60 years, scheduled for various elective upper limb surgeries under supraclavicular brachial block were divided into 2 groups in a randomized, double-blinded fashion. In group R (n=30), 30ml of 0.5% ropivacaine +1.5ml saline and in group D (n=30), 30ml of 0.5% ropivacaine +1.5ml dexamethasone (6mg) were given. The time of onset of motor and sensory blockade, duration of analgesia and pain scores were recorded. RESULTS: Demographic data and surgical characteristics were similar in both groups. The sensory and motor block onset time was earlier in group D as compared to group R (P<0.001). Duration of analgesia was longer in group D than in group R (P<0.001). Pain score in the two groups – group R had moderate to extreme pain while the group D had no pain to moderate pain in the first 24 hours postoperatively. CONCLUSION: Addition of dexamethasone to 0.5% ropivacaine in supraclavicular brachial plexus block speeds the onset and prolongs the duration of sensory and motor blockade.
Authors and Affiliations
Kalpana K, Natesh S. Rao, Sadanand Gopal
Keywords
Related Articles
- EP ID EP229765
- DOI 10.18410/jebmh/2015/698
- Views 99
- Downloads 0
ROLE OF THE HEALTH-CARE PROFESSIONALS IN COMBATING TOBACCO EPIDEMICS
Tobacco epidemics have become a matter of serious health hazard all over the world. Smoking tobacco considered as a means for relaxation and recreation is now indicated as a menacing health hazard. Tobacco in all forms a...
GROSS ANATOMY AND BLOOD SUPPLY OF SMALL INTESTINE IN FOETUSES
AIM OF STUDY: To develop charts of length and width of small intestine, origin, length and branching pattern of celiac trunk and Superior mesenteric artery. This will help us to know any congenital anomaly in the small i...
ULTRASONOGRAPHY OF THYROID NODULES- IS IT WORTHWHILE?
BACKGROUND Thyroid nodules are one of the commonest neck swellings encountered by ENT surgeons today. The diagnostic difficulty lies in the assessment of the nature and behaviour of such masses. A large proportion of the...
MYOINOSITOL IN PCOS
Medical treatments for PCOS are usually aimed at improving the clinical, endocrine and metabolic effects of this disease. A combination of hormonal contraceptives, progestins, insulin sensitizing agents and statins is ef...
PREVALENCE OF DEPRESSION BY ZUNG SELF-RATING DEPRESSION SCALE AMONG COMPUTER ENGINEERING STUDENTS AND TEACHING STAFF OF GULBARGA CITY
The occupational hazards of computer use are much more serious and disabling than any other occupation. Health problems in computer users appear to be interrelated and they are musculoskeletal, visual, stress and depress...