Abstract
TO STUDY THE EFFECTS OF DEXAMETHASONE AS AN ADJUVANT WITH ROPIVACAINE IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK IN UPPER LIMB SURGERIES

Dr. Jani Sweta Jayant*, Dr. Darshana Dhedhi, Dr. Seema Gandhi, Dr. Monal Ramani and Dr. S. K. Shah

ABSTRACT

Background: Dexamethasone has been found to prolong duration in animals and human studies. We used dexamethasone along with ropivacaine for supraclavicular brachial plexus block. Aims: We aimed at assessing the effect of Dexamethasone as an adjuvant with ropivacaine in supraclavicular brachial plexus block. Methods: Sixty ASA grade I and II patients, 18-60 years old, scheduled for upper limb surgeries under supraclavicular brachial plexus block, were included in this prospective study. The patients were randomly assigned to two groups, Group A which received ropivacaine 0.5% 30 ml+2ml NS and Group B which received ropivacaine 0.5% 30 ml+8 mg Dexamethasone. Onset and recovery time of sensory and motor block, duration of analgesia and quality of block were studied in both groups. Results: Dexamethasone provides early onset of sensory and motor block, prolongs the duration of sensory and motor block, prolongs effective analgesia when added to ropivacaine in supraclavicular brachial plexus block.

Keywords: Dexamethasone, ropivacaine, supraclavicular block.


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