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 84
- Downloads 0
A PROSPECTIVE OBSERVATIONAL STUDY ON POISONING CASES IN A TERTIARY CARE HOSPITAL IN TAMILNADU
BACKGROUND High incidence of encounters with agricultural poisons, and lack of data from Indian scenario, necessitate studies in this regard. Our study aims at investigating the pattern of acute poisoning cases in a tert...
THE CURRENT PRACTICES FOR TESTING FOR HYPERGLYCAEMIA IN PREGNANCY (HIP) IN THE MEDICAL COLLEGE INSTITUTIONS IN INDIA
BACKGROUND The aim of the study is to determine the current practices in the medical college institutions pan India for testing for Hyperglycaemia in Pregnancy (HIP) to detect gestational diabetes and highlight areas tha...
CLINICAL AND LABORATORY PROFILE OF SPUTUM POSITIVE PULMONARY TUBERCULOSIS AMONG HIV SEROPOSITIVE AND HIV SERONEGATIVE PATIENTS- A CROSS-SECTIONAL STUDY
BACKGROUND The global impact of the converging dual epidemics of TB and HIV is one of the major public health challenges. The increasing rate of HIV infection in many countries has had an impact on TB epidemiology. As th...
EARLY POSTOPERATIVE COMPLICATIONS AND DURATION OF HOSPITAL STAY AFTER PRIMARY PALATOPLASTY
The optimum period of hospitalization following primary palatoplasty is a balance between patient safety on discharge, the possibility of iatrogenic or cross infections as well as the total treatment costs. There is a wo...
SIGNIFICANCE OF LOWERING SERUM URIC ACID LEVEL IN HYPERTENSIVE PATIENTS
BACKGROUND Worldwide, hypertension is an important public health challenge because of its high frequency and concomitant risk of coronary heart disease, stroke, kidney disease and other vascular complications. Interestin...