Supraclavicular Brachial Plexus Block with and without Dexamethasone as an Adjuvant to local anaesthetics: a Comparative Study
Journal Title: International Journal of Biomedical and Advance Research - Year 2016, Vol 7, Issue 9
Abstract
Aim and Objectives: To assess the effect of dexamethasone on onset and duration of anaesthesia as well as duration of analgesia when added to local anaesthetic solution for supraclavicular brachial plexus block. Methods: A randomized comparative study included total 60 patients of either sex, age between 18-70 years belonging to ASA Grade I and II undergoing elective or emergency surgeries of upper limb under supraclavicular brachial plexus block. Patients were randomly divided in group A (40 ml volume of lignocaine 2% with adrenaline (1:200000) + 0.5% bupivacaine) and group B (40 ml volume of lignocaine 2% with adrenaline (1:200000) + 0.5% bupivacaine with dexamethasone 8 mg). The onset and duration of sensory and motor block as well as duration of analgesia in the two groups were compared and any complications of the procedure were noted. Result: Group B had early onset and prolonged duration of sensory and motor block as well as prolonged duration of analgesia as compared to group A. None of the patients had bradycardia, hypotension or any other side effects. Conclusion: We concluded that addition of 8 mg dexamethasone to local anaesthetics in supraclavicular brachial plexus block reduces the time to onset of sensory and motor blockage and prolonged duration of postoperative analgesia.
Authors and Affiliations
Pradeep Dhumane, Nilofar Shakir
Keywords
Related Articles
- EP ID EP367040
- DOI 10.7439/ijbar.v7i9.3625
- Views 69
- Downloads 0
Serum B12 Levels in Type II Diabetics on Metformin Therapy and its association with Clinical Neuropathy
Background: Metformin use in type II DM has also been known to cause B12 deficiency in as reported many studies. Iatrogenic neuropathy caused by Metformin induced B12 deficiency can add to burden of peripheral neuropathy...
Clinical and Genetic Aspects of Oral Lichen Planus
Lichen planus (LP) is a chronic inflammatory muco-cutaneous disease. Oral Lichen Planus (OLP) is often asymptomatic; the atrophic-erosive form can cause symptoms ranging from burning sensation to severe pain, interfering...
Quality Evaluation of Rubella Vaccine used in India
Objectives: Cold chain maintenance is essential to ensure vaccine quality till it reaches the end user. In tropical countries like India with hot and humid environment, the transport of vaccines with required cold chain...
Estimation of stature from hand length and foot length in Nagpur region of Maharashtra State
Aim and Objectives: Stature (body height) is an important and useful anthropometric parameter for identification of an individual. The present study was undertaken to set up a standard formulae to estimate stature from h...
Association Between socioeconomic status And Diabetes Mellitus In Perimenopausal Women In An Urban Slum Of Mumbai
This study has been undertaken to find association between socioeconomic status and diabetes mellitus in perimenopausal women in an urban slum of Mumbai. The cross-sectional community-based descriptive epidemiological st...