DEXAMETHASONE (8 MG) AS AN ADJUVANT IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK–COMPARATIVE STUDY OF 60 CASES.

DR. PARTHVI G. SOLANKI; DR NIPA C. NAYAK; DR KHYATI D. OZA

Volume : VII, Issue : VII, July - 2017

DEXAMETHASONE (8 MG) AS AN ADJUVANT IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK–COMPARATIVE STUDY OF 60 CASES.

Dr. Parthvi G. Solanki, Dr Nipa C. Nayak, Dr Khyati D. Oza

Abstract :

Supraclavicular achial plexus block is a popular and widely employed regional nerve block technique. Dexamethasone is selected as an adjuvant to local anaesthetics in achial plexus block because it has been reported to prolong duration of action of local anaesthetics and significantly prolongs the duration of analgesia and has not been associated with any adverse complications. Objective of study is to compare the effect of dexamethasone added to bupivacaine and normal saline in bupivacaine in supraclavicular achial plexus block. We studied 30 such patients in each group. Outcome was assessed in terms of onset of motor and sensory blockade, duration of motor and sensory blockade and post operative analgesia. We observed that addition of 8 mg Dexamethasone to bupivacaine 0.5% solution in achial plexus block reduces the onset and prolongs the duration of sensory and motor blockade, reduces the requirement of rescue analgesic in postoperative period.