Volume : X, Issue : V, May - 2020

A PROSPECTIVE, RANDOMIZED DOUBLE BLIND STUDY TO EVALUATE THE EFFICACY OF INJ. DEXAMETHASONE (8mg) AS AN ADJUVANT TO 0.375% BUPIVACAINE IN ULTRASOUND GUIDED SUPRACLAVICULAR

Dr. Md Asim Hussain, Dr. Shibu Sasidharan, Dr. M Saadat Ali Khan

Abstract :

Introduction: The supraclavicular achial plexus block has proven to be an important, safer and effective alternative to general anesthesia in surgeries of upper extremity. This study was conducted to study the effect of addition of dexamethasone to bupivacaine for achial plexus blockade in adult patients posted for upper limb surgeries. Methodology: This prospective randomized double blind clinical study was conducted on 50 patients of age 18 to 70 years and ASA I/II posted for upper limb surgeries below shoulder joint. Control group S (n=25) received • Inj. bupivacaine 18ml • Inj. Normal saline 2ml Study group D (n=25) received • Inj. bupivacaine 18ml • Inj. Dexamethasone 2ml (8mg) Total volume: 20ml. Both the groups were demographically comparable. Results: Onset of sensory effect was 3.92±1.41 minutes in group D and 4.56±1.38 minutes in group S. (p>0.05) Onset of motor effect was 6.56±1.32 minutes in group D and 6.84± 0.85 minutes in group S. (p>0.05) Mean duration of sensory blockade was 10.09 ±1.22 hours in group D and 6.53± 0.6 hours in group S. (<0.001) Mean duration of motor blockade was 8.54±0.92 hours in group D and 7.45±0.74 hours in group S. (<0.001) Total duration of analgesia was 17.01±1.13 hours in group D and 8.30±1.95 hours in group S (p<0.001). Conclusion: Dexamethasone added to bupivacaine for achial plexus block did not alter the onset time of sensory or motor blockade but prolonged the duration of sensory and motor blockade along with total duration of postoperative analgesia

Keywords :

Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

A PROSPECTIVE, RANDOMIZED DOUBLE BLIND STUDY TO EVALUATE THE EFFICACY OF INJ. DEXAMETHASONE (8MG) AS AN ADJUVANT TO 0.375% BUPIVACAINE IN ULTRASOUND GUIDED SUPRACLAVICULAR, Dr. Md Asim Hussain, Dr. Shibu Sasidharan, Dr. M Saadat Ali Khan INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-5 | May-2020


Number of Downloads : 174


References :