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
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- EP ID EP229765
- DOI 10.18410/jebmh/2015/698
- Views 93
- Downloads 0
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