IJSR - International Journal of Scientific Research

Dr.Santosh Kumar; Dr.Yogesh Verma

Volume : VIII, Issue : VIII, August - 2019

COMPARISON OF DEXMEDETOMIDINE AND DEXAMETHASONE AS AN ADJUVANT TO LOCAL ANAESTHETIC IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK.

Dr. Santosh Kumar, Dr. Yogesh Verma

Abstract :

Background– Supraclavicular achial plexus block is a commonly employed regional nerve block technique for upper extremity surgery. Objective– To compare dexamethasone and dexmedetomidine as an adjuvant to local anaesthetic agent in supraclavicular achial plexus block with respect to onset and duration of sensory and motor block. Methods– Forty ASA I and II patients scheduled for elective upper limb surgeries under supraclavicular achial plexus block were divided into two equal groups in a double– blinded fashion. Group one was given 0.25% Bupivacaine 2 milligram/kg as local anaesthetic and Dexmedetomidine 1microgram/kg as adjuvant. Group two was given 0.25% Bupivacaine 2 milligram/kg and Dexamethasone 100microgram/kg as adjuvant. All data were recorded, and statistical analysis was done. Results– Sensory block and motor block onset was earlier in dexmedetomidine group. The duration of blockade was also prolonged in dexmedetomidine group when compared with dexamethasone group and is not associated with any major side–effect. Conclusion– Dexmedetomidine is a better adjuvant than dexamethasone in supraclavicular achial plexus block.