COMPARATIVE STUDY OF ROPIVACAINE ALONE VERSUS ROPIVACAINE WITH DEXAMETHASONE AS AN ADJUVANT IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK
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Published:2022-03-15
Issue:
Volume:
Page:151-153
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ISSN:
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Container-title:PARIPEX INDIAN JOURNAL OF RESEARCH
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language:en
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Short-container-title:PIJR
Author:
Pathak Deba Gopal1, Dutta Aparajita2, Das Abhijit3
Affiliation:
1. Professor,Department of Anaesthesiology and Critical Care,Silchar Medical College and Hospital. 2. PG Trainee, Department of Anaesthesiology and Critical Care, Silchar Medical College and Hospital. 3. Asstt. Professor, Department of Anaesthesiology and Critical Care, Silchar Medical College and Hospital.
Abstract
Brachial plexus block provide a useful alternative to general anaesthesia for upper limb surgeries.Ropivacaine is one of
the most frequently used local anaesthetic which has longer duration of action but has drawbacks of delayed onset and
patchy analgesia. Dexamethasone is very potent glucocorticoid with very good anti-inflammatory and analgesic
activity. A prospective, randomised double blinded study was undertaken in patients posted for upper limb surgeries
under supraclavicular block. 80 patients with ASA class I and II were randomly grouped into two groups. Group R
received 28ml ropivacaine 0.5% and 2ml normal saline and Group RD received combination of 28ml ropivacaine 0.5%
and 2ml/8mg dexamethasone. 30ml solution is used for a single shot blockade of supraclavicular brachial plexus.
Combination of ropivacaine 0.5% and dexamethasone 8mg has significantly hasten onset and duration of sensory and
motor blockade and prolonged duration of analgesia.
Publisher
World Wide Journals
Reference14 articles.
1. Gebhart G. F., Ballantyne, J. C., Fishman, S. M., Rathmell, J. P., (2019), “Intellectual Milestones in Our Understanding and Treatment of Pain.” Bonica’s Management of Pain. 5th edition, Philadelphia:Wolters Kluwer Health, 195-211. 2. Hurley, R. W., Murphy, J. D., Wu, C. L., Miller, R. D., Cohen, N. H., Eriksson, L. I., Fleisher, L. A., Wiener-Kronish, J. P., Young, W. L., (2015), “Acute Postoperative Pain.” Miller’s Anesthesia. 8th edition. Elsevier Saunders, 2974-2998. 3. Mishra, A. K., Afza, I. M., Mookerjee, S. S., Bandyopadhyay, K. H., Paul, A., (2013), “Pre-emptive analgesia: Recent trends and evidences.” Indian Journal of Pain, 27, 114-120. 4. Krishna Prasad, G. V., Khanna, S., Jaishree. S. V.,(2020), “Review of adjuvants to local anaesthetics in peripheral nerve blocks: Current and future trends.” Saudi Journal of Anesthesia, 14, 77-84. 5. Chen, B. S., Peng, H., Wu, S. N., (2009), “Dexmedetomidine, an α2-adrenergic agonist, inhibits neuronal delayed-rectifier potassium current and sodium current.” British Journal of Anesthesia, 103(2), 244–254.
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