Effect of Dexamethasone as an Adjuvant to Ropivacaine in Supraclavicular Brachial Plexus Block for Upper Limb Surgeries
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 2
Abstract
Brachial plexus block is widely employed regional nerve block technique for upper extremity surgeries. Supraclavicular approach is most preferred as it is easy and gives consistency in results with minimal side effects. Various adjuvants have been added to local anesthetics to Prolong the duration of anesthesia. In our study, Dexamethasone has been added to ropivacaine to evaluate its effect on duration of analgesia. Aim: Evaluating the effect of adding dexamethasone to ropivacaine in supraclavicular brachial plexus block compared with ropivacaine alone. Materials and Methods: A Randomised prospective and double blinded clinical study. Seventy patients of ASA I and II of either sex, aged 20-65 years, undergoing various elective upper limb surgeries were equally divided into two groups and given supraclavicular brachial plexus block. Group A patients (n = 35) received 30 ml of 0.5% ropivacaine with distilled water (2 ml)control group whereas Group B patients (n = 35) received 30 ml of 0.5% ropivacaine with 8 mg dexamethasone (2 ml) made study group. The primary outcome measures were the onset of sensory and motor block, duration of analgesia and pain scores. Results: The onset of sensory and motor block was seen to be faster in Group B than Group A. Patients in group A required first rescue analgesia earlier (410.28± 38.70 min) thanthose of Group Bpatients (996.60 ± 56.60 min), which was found statistically significant (P < 0.002). The total dose of rescue analgesia was higher in Group A as compared to Group B, which was statistically significant (P < 0.00). Conclusion: Addition of dexamethasone (8 mg) to ropivacaine in supraclavicular brachial plexus approach significantly and safely prolongs sensory, motor blockade and postoperative analgesia more than that produced by ropivacaine alone.
Authors and Affiliations
Chandrashekarappa Kavi
Keywords
Related Articles
- EP ID EP532561
- DOI 10.21088/ijaa.2349.8471.5218.5
- Views 97
- Downloads 0
Effect of Dexmedetomidine as Adjuvant to Ropivacaine in Ultrasound Guided Supraclavicular Brachial Plexus Block for Upper Limb Surgeries
Background and Aims: Different additives have been used to prolong Brachial plexus block. We evaluated the effect of adding Dexmedetomidine to Ropivacaine for Ultrasound guided Supraclavicular Brachial plexus blockade. T...
Evaluation of Safety and Efficacy of Hyperbaric Bupivacaine (0.5%) Versus Hyperbaric Bupivacaine (0.5%) with 25 ìg Fentanyl in Subarachnoid Block in Participants Undergoing Lower Limb Orthopaedic Surgery: A Prospective Randomized Double Blind Clinical Trial
Introduction: Intrathecal opioids potentiate the analgesic property of local anaesthetics. Hence, this study was conducted to evaluate the efficacy and safety of intrathecal Fentanyl (25mg) with hyperbaric Bupivacaine i...
Prevention of Propofol Injection Pain: A Comparison between Ondansetron, Dexamethasone and Lidocaine
Introduction: Propofol (2,6 di-isopropyl phenol) is widely used agent for induction of anaesthesia, although the pain during its injection remains a concern for all anaesthesiologists. The incidence of Propofol injection...
Comparison of Esmolol and Magnesium Sulphate for Attenuation of Hemodynamic Stress Response to Laryngoscopy and Intubation in Elective ENT Surgeries
The sympathoadrenal response to laryngoscopy and intubation is hazardous in patients with hypertension, coronary artery disease, cerebrovascular disease and intracranial pathology. Various drugs are used to attenuate th...
Comparison of Epidural Levobupivacaine 0.125% with Fentanyl 2 mcg/ ml and evobupivacaine 0.125% Alone for Postoperative Pain Management
Introduction: The aim of the study was to compare effectiveness of single dose epidural 0.125% levobupivacaine with fentanyl 2 mcg/ml and 0.125% levobupivacaine alone in patients undergoing elective lower limb orthopaedi...