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 108
- Downloads 0
A Comparison of Dexmedetomidine with Midazolam for Sedation in Elderly Patients Undergoing Regional Anaesthesia
Chemically induced tranquillity improves acceptance of Regional Anaesthetic techniques. Intravenous sedative medications are useful for the same as positioning for surgery can be uncomfortable and spontaneous movements b...
Effects of intrathecal Nalbuphine as an Adjuvant to Ropivacaine in Patients undergoing Transurethral Resection of Prostate
Spinal anaesthesia is commonly used in elderly patients who undergo transurethral resection of prostate (TURP) especially in those with compromised cardiorespiratory functions. Aims: To evaluate the efficacy of Nalbuphi...
Comparison of Efficacy of Dexmedetomidine with Ketamine for Anaesthesia in Dilatation and Curettage
Background: Anaesthesia in dilatation and curettage (D & C) is administered with the dual goals of rapidly and safety establishing satisfactory procedural condition for the performance of therapeutic or diagnostic proced...
Study of Prescription Pattern of Analgesics in Terminally Ill Cancer Patients with Solid Tumors in a Tertiary Care Centre: A Retrospective Study
This study evaluated the prescribing pattern of analgesics in very terminal ill cancer patients who succumbed to their illness in a tertiary care hospital. Methods: This retrospective study was conducted in the Medical R...
Anticipated Challenges during Anaesthetic Management of a Patient with Kartagener Syndrome: Case Report
The trait is Autosomal recessive. Primary ciliary dyskinesia is the major patho-physiology with Sinusitis, Bronchiectasis and Situs Invertsus as the characteristic features. Preoperatively Respiratory and Cardiovascular...