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
A STUDY TO ASSESS THE FACTORS DETERMINING THE UNMET NEED FOR CONTRACEPTIVE USAGE IN AN URBAN AREA RAJAPUR
Family planning is a “way of thinking and living that is adopted voluntarily, upon the basis of knowledge, attitudes, and responsible decisions by individuals and couples, in order to promote the health and welfare of th...
ANTIBIOTIC PRESCRIBING PATTERN IN PAEDIATRICS OUTPATIENT IN A TERTIARY CARE HOSPITAL
BACKGROUND The invention of antimicrobials emerged as a transformational turning point in the reduction of the burden of communicable disease in the 20th century. Antimicrobials are among the most widely prescribed thera...
A CASE OF LYMPHADENOPATHY- KIKUCHI WITH SLE
PRESENTATION OF CASE Kikuchi disease is a rare form of necrotising lymphadenopathy which has been associated with many autoimmune diseases. We are reporting the case of a 40- year-old female patient who presented with ly...
RADIOLOGICAL PREDICTORS OF DIFFICULT INTUBATION- A PROSPECTIVE STUDY
BACKGROUND Anaesthesiologists are confronted daily with the task of determining whether endotracheal intubation will be of increased difficulty in a patient. Several clinical tests were designed to predict difficult intu...
PREOPERATIVE SERUM ALBUMIN LEVEL AS A PREDICTOR OF SURGICAL COMPLICATIONS AFTER EMERGENCY ABDOMINAL SURGERY
BACKGROUND Pre-operative nutritional status has been an important factor related to morbidity and mortality in surgical patients, of which hypoalbuminemia has been shown to have direct association with increased complica...