The Effect of Dexamethasone Added as an Adjuvant to Bupivacaine for Brachial Plexus Block in Upper Limb Surgeries
Journal Title: Journal of Chalmeda AnandRao Institute of Medical Sciences - Year 2018, Vol 16, Issue 2
Abstract
Aim and Objectives: The aim of study was to evaluate the onset time, duration and analgesic efficacy of bupivacaine 0.25%, and to compared the Bupivacaine + Dexamethasone 8 mg for brachial plexus block by supraclavicular approach and Hemodynamic variables for the upper limb surgeries. Materials and Methods: The study was a randomized single blinded study conducted on 60 patients undergoing upper limb surgeries aged between 18 to 65 years under supraclavicular brachial plexus block at Chalmeda AnandRao Institute of Medical Sciences, Karimnagar, Telangana. Results: The mean time for onset of motor block in group B was 9.16 ± 1.34 min and in group BD was 5.40 ± 0.89 min. The mean duration of motor block in group B was 2.36 ±1.26 hours and in group BD was 4.46 ± 0.71. The mean duration of sensory block in Bupivacaine group was 4.56 ± 3.22 hours in BD group was 6.14 ± 0.63 hours. Conclusion: our study showed that the addition of dexamethasone 8 mg as an adjuvant to bupivacaine (0.25%) has following effects: Faster onset of sensory and motor block, longer duration of sensory and motor block.
Authors and Affiliations
Inugala RajKumar Reddy, M Rajabhushanam, N Trivikaram, MD Shareef
Keywords
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