A Clinical Comparison between 0.5% Ropivacaine and 0.5% Ropivacaine with Dexamethasone 8mg Combination in Brachial Plexus Block by Supra Clavicular Approach
Journal Title: People's Journal of Scientific Research. - Year 2018, Vol 11, Issue 2
Abstract
Dexamethasone as an adjuvant to bupivacaine for supraclavicular brachial plexus (SCBP) block prolongs motor and sensory blockade. However, the effect of dexamethasone (8 mg) when added to Ropivacaine has not been well studied. This study was conducted to find out analgesic efficacy of dexamethasone as adjuvant to Ropivacaine in SCBP block. Ultrasound .guided SCBP block was given to eighty patients, randomly assigned into two groups. Group R (forty patients) - received 2 mL normal saline with 30 mL Ropivacaine (0.5%) and Group D (forty patients) received 2 mL of dexamethasone (8 mg) with 30 mL of Ropivacaine (0.5%), respectively. Time for the first rescue analgesia, number of rescue analgesics required in 24 h and different block characteristics was assessed. Chi square test and Student's t test were used for statistical - - analysis. Time for request of the first rescue analgesia was 400.13 ± 109.42 min in Group R and 700.80 ± 121.46 min in Group D (p < 0.001). The requirement for rescue analgesics was more in Group R when compared to Group D. The onset of sensory and motor block was faster in Group D when compared to Group R. The mean duration of sensory and motor block was significantly longer in Group D than Group R. The addition of dexamethasone to Ropivacaine in SCBP blockade prolonged time for first rescue analgesia and reduced the requirement of rescue analgesics with faster onset and prolonged duration of sensory and motor block.
Authors and Affiliations
Saurabh Kulshreshtha,, Dr Ritu Gupta
Keywords
Related Articles
- EP ID EP397435
- DOI -
- Views 80
- Downloads 0
[sub][/sub]Role of Granulocyte Colony Stimulating Factor (G-Csf) in Neonatal Sepsis with Neutropenia
Randomized controlled double blind trial was done at NICU, Department of Pediatrics, MLB Medical College, Jhansi to determine whether adjunctive therapy with G-CSF could reverse sepsis associated neonatal neutropenia a...
Treatment of Myofascial Pain Dysfunction Syndrome in an Edentulous Patient – A Case Report
Pain is a complex phenomenon, causing discomfort, suffering and psychosocial morbidity. Myofascial Pain Dysfunction Syndrome (MPDS) is attributed to pain & inflammation of the muscles, with no definitive pathogenesis...
Pediatric Endodontics- Endodontist’s view
The dental diseases affecting the pulp and periapical tissues in the primary and permanent dentitions pose treatment challenges for the endodontists because of the vast variations in these dentitions basically due to fac...
A Study of Liver Function Tests Abnormalities in Tuberculosis Patients Under RNTCP-DOTS, VIMS Bellary
A prospective study was conducted among 100 patients selected from amongst those who were registered in the Revised national tuberculosis control programme (RNTCP) cell of VIMS Hospital Bellary from January 2012 to the...
Role of Dexmedetomidine as an Anesthetic Adjuvant in Laparoscopic Surgery
Dexmedetomidine is a highly selective agonist with properties of sedation, analgesia and anxiolysis, making it an ideal anesthetic adjuvant. Using an anesthetic adjuvant decreases the requirement of anesthetics and a...