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 148
- Downloads 0
Titanium Elastic Nailing in femoral diaphyseal fractures of children in 6-16 years of age
Background: Management of paediatric femoral fractures has gradually evolved in the past two decades towards operative approach because of a desire for more rapid recovery and reintegration of the patients. Material an...
Seroprevalence of Hepatitis B surface antigen among pregnant women attending rural based tertiary care teaching hospital in Northern Telangana, India: A cross sectional study
Background: Hepatitis B virus infection is a significant public health problem not only in India but worldwide. Vertical transmission and hepatitis B virus infection early in childhood leads to more chances of progressio...
Few Novel drugs approved by USFDA in 2015
Novel drugs approved by USFDA in 2015 as per the latest guidelines.
Subacute Combined Degeneration of spinal cord with megaloblastic anemia secondary to vitamin B12 deficiency in a 17-year female
Summary: Sub acute combined degeneration of spinal cord (SCD), a treatable non-compressive myelopathy, is a rare cause of demyelination of the dorsal and lateral columns of the spinal cord. Megaloblastic anemia is a diso...
Need for strengthening the internship training in undergraduate medical education
The internship period during the undergraduate medical education is the most critical period intended to incorporate the practical and communication skills among the students bearing in mind the transformation of a medic...