Affiliation:
1. MBBS, (MD)
2. MBBS, MD, Professor
3. MBBS, MD, Associate Professor
Abstract
Aim: To evaluate the onset of analgesia, degree of sensory and motor blockade, duration of analgesia and complications. Introduction: Brachial
plexus block provides a useful alternative to general anaesthesia for upper limb surgeries. Intravenous Regional anaesthesia is a simple method of
producing analgesia of the arm or leg by intravenous injection of a local anaesthetic, while the circulation is occluded.Materials And Methods:A
prospective, randomised single-blinded study was undertaken in patients posted for upper limb below elbow surgeries. 80 patients aged 15-50 yrs
with ASAclass I and II were randomly grouped into two groups. Group 1 – were anaesthetized by supraclavicular brachial plexus block. Group 2 –
were anaesthetized by IVRA Results: Group II patients had a faster onset of action, grade I degree of sensory and motor blockade and lesser
duration of action. Discussion: The addition of dexamethasone 8mg to bupivacaine 0.5% speeds the onset of sensory and motor blockade also
prolongs the duration thus provides better analgesia and reduces the requirements of rescue analgesics. Conclusion: IVRA appears to be a better
alternative with regards to onset, quality of analgesia and degree of motor blockade. But the duration of analgesia is little more with Brachial plexus
block
Subject
Animal Science and Zoology,Ecology, Evolution, Behavior and Systematics,Health Professions (miscellaneous),Law,Public Health, Environmental and Occupational Health,Nutrition and Dietetics,Applied Microbiology and Biotechnology,Food Animals,Management Science and Operations Research,Strategy and Management,Business and International Management,General Business, Management and Accounting,Management of Technology and Innovation,Strategy and Management,Economics and Econometrics,Business and International Management,Management Science and Operations Research,Safety, Risk, Reliability and Quality,Business and International Management,Industrial and Manufacturing Engineering,Management Science and Operations Research,Economics and Econometrics,General Business, Management and Accounting,Industrial and Manufacturing Engineering,Management Science and Operations Research,Strategy and Management
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