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 97
- Downloads 0
TO EVALUATE AND COMPARE THE EFFECTIVENESS OF IV DEXMEDETOMIDINE AND IV LIDOCAINE ON ATTENUATION OF HAEMODYNAMIC RESPONSES AND AIRWAY REFLEXES DURING EXTUBATION
BACKGROUND Endotracheal intubation is an integral part of the modern anaesthesia techniques for major surgical procedures. Extubation are associated with various cardiovascular and airway responses leading to tachycardia...
ROLE OF ZINC IN PULMONARY TUBERCULOSIS
BACKGROUND Tuberculosis remains a worldwide public health problem, despite the fact that the causative organisms were discovered more than ten decades ago and highly effective medicines are available. Zinc is an importan...
A RARE CASE: OHVIRA SYNDROME (OBSTRUCTED HEMIVAGINA AND IPSILATERAL RENAL ANOMALY) WITH UNICORNUATE UTERUS
PRESENTATION OF CASE A 50-year-old unmarried, nulligravida female patient presented with chronic dull aching abdominal pain predominantly in suprapubic region since past 4 months and loose stools since 1 month with histo...
PROLONGED USE OF MULTIDRUG THERAPY FOR LEPROSY LEADING TO MULTIPLE COMPLICATIONS
Multidrug therapy (MDT) for leprosy was recommended by WHO with a triple drug regimen of Dapsone, Rifampicin and Clofazimine, which is still the best treatment for leprosy. Side effects of these are commonly seen in clin...
CERVICAL VERTEBRAL SYNOSTOSIS: AN OSTEOLOGICAL STUDY
INTRODUCTION: Congenital anomalies affecting the craniovertebral or cervical region are common. Among these congenital anomalies the important ones are the fused cervical vertebrae which can be due to either congenital o...