A COMPARATIVE EVALUATION OF EFFICACY OF BUPIVACAINE 0.25% AND BUPIVACAINE 0.25% WITH DEXAMETHASONE IN PARASCALENE BLOCK FOR UPPER LIMB SURGERIES

DR.A.J.SAIKARTHIK; DR.M.BHAVANI

Volume : VII, Issue : VII, July - 2018

A COMPARATIVE EVALUATION OF EFFICACY OF BUPIVACAINE 0.25% AND BUPIVACAINE 0.25% WITH DEXAMETHASONE IN PARASCALENE BLOCK FOR UPPER LIMB SURGERIES

Dr. A. J. Saikarthik, Dr. M. Bhavani

Abstract :

AIM:

To compare the efficacy of Bupivacaine 0.25% and Bupivacaine 0.25% with dexamethasone in parascalene block for upperlimb surgeries.

MATERIALS AND METHODS :

Patients undergoing upperlimb surgeries under Parascalene block by 22G nervelocator were randomly allocated into two groups of Group B who receives 30ml of Bupivacaine 0.25% and Group BD who receives 28 ml of Bupivacaine 0.25% with 8 mg of dexamethasone .The duration of analgesia is compared as the primary outcome.other parameters like time of onset of sensory and motor blockade,post operative VAS scores were compared as the secondary outcome.

RESULTS :

The mean duration of analgesia is significantly prolonged in Group BD with mean time of 595.43 min compared to Group B where it was 311.40 min.The mean onset of sensory block was significantly shortened in Group BD with mean onset time of 4.67 min compared to Group B where it was 7.67 min.The post operative VAS score was significantly lesser in Group BD where it was 3.55 compared to Group B where it was 4.09.

CONCLUSION :

Addition of 8 mg of Dexamethasone to 0.25% Bupivacaine 28 ml for parascalene block,quickens the onset of Sensory and motor blockade and prolongs the duration of analgesia with improving the quality of post operative analgesia.