Supraclavicular Brachial plexus block using Lidocaine with Adrenaline and Dexomethasone as an adjunct – A study on 60 cases
Journal Title: Perspectives In Medical Research - Year 2015, Vol 3, Issue 2
Abstract
Introduction: Steroids are very potent anti inflammatory and immunosuppressive agents. They are used in various inflammatory and allergic conditions in various medical and surgical diseases. Study was undertaken to compare the effect of addition of dexamethasone as an adjunct to local anaesthetic in brachial plexus block on the onset time and duration of block. Materials and Methods:The study was done on patients undergoing elective upper limb surgeries, aged between 18- 60 years were randomly allocated into two groups of 30 each. Group A were received 7mg/kg of 1.5% lidocaine with adrenaline with 2ml 0.9% normal saline and Group B received 7mg/kg of 1.5% lidocaine with adrenaline with 2ml (8mg) dexamethasone. Sensory and motor blockade were recorded at an interval of 5, 15, 30min, and post operatively every 15min till the complete sensory and motor recovery. Results:Both the onset of sensory and motor blockade was earlier in dexamethasone group than control group (sensory 636 ± 56.48 sec versus 678 ± 65.72 seconds, motor 698.33 ± 54.33 sec versus 740 ± 66.38 sec ) and both the duration of sensory and motor block was prolonged in dexamethasone group than control group ( sensory 230.00±13.37 min versus 150.50±12.45 min, motor 243.50±13.49min versus172.50±13.03 min . Conclusion:We conclude that dexamethasone as an adjunct administered with lidocaine with adrenaline in brachial plexus block produces early onset of sensory and motor blockade, prolongs duration of both sensory and motor blockade, with out any side effects.
Authors and Affiliations
E. Devandar Reddy Reddy
Keywords
Related Articles
- EP ID EP296940
- DOI -
- Views 150
- Downloads 0
Nodular hidradenoma over the leg
Introduction:Nodular hidradenoma is a rare benign tumour of eccrine sweat gland. It usually presents as a solitary, intradermal nodule 0.5 -2 cms in diameter in most instances. It may be red, brown or bluish and sometime...
Role of Red Cell Indices, family history of Diabetes Mellitus and daily exercise influence on Academic performance ofUndergraduateMedical students
Introduction : Undergraduate (UG) medical education in India is facing new challenges. Nutritional status, genetic predisposition to DiabetesMellitus and life style of medical students are examples of modifiable and non-...
Atypical Bronchial Carcinoid
Introduction: Carcinoid tumour is a rare entity accounting for less than two percent of bronchial neoplasms. They are rare well-differentiated, neuro-endocrine tumors, with low-grade malignancy. They are distinguished in...
Implementation of Hospital Infection Control Committee: A Big Step Forward Towards Improved Patient Care
Hospital infections or nosocomial infections (Greek: Nosus means disease, and Komeion means taking care of) are all those infectionsacquired by hospitalized patients, other than the cause for which they werehospitalized,...
Impact of oral administration of ethanol leaf extract of Piliostigma thonningii on fertility hormones of male Wistar rats
Introduction: The quest for the safe herbal remedy for the management of erectile dysfunction and their relationship with male sexual hormones prompted this research. Aims and Objectives: It is aimed at determining the...