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INTERNATIONAL JOURNAL OF PHARMACEUTICAL RESEARCH

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Published by : Advanced Scientific Research
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0975-2366
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IJPR 9[3] July - September 2017 Special Issue

July - September 9[3] 2017

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Effectiveness of Addition of Dexamethasone as An Adjuvant to Local Anesthetic in Supraclavicular Brachial Plexus Block in A Patient Undergoing Upper Limb Orthopedic Upper Limb Surgeries- An Experimental Study

Author: DEEPAK GUPTA, VIJAY CHANDAK, AMOL SINGHAM, PRACHI PALSODKAR
Abstract: Introduction: Brachial plexus block is always a good substitution for general anesthesia in upper limb surgeries under ideal condition. The use of supraclavicular block of brachial plexus to perform upper limb surgeries has proved to be safe with lesser side effects and hemodynamic variation. Also it provides better postoperative analgesia. By adding adjuvant to supraclavicular brachial plexus block, the commencement, timescale and quality of block can be improved. Aims of the study: The study aims is to determine the effectiveness of dexamethasone when mixed with local anesthetic as subordinate drug in supraclavicular block in a patient undergoing upper limb surgeries in terms of commencement, duration of block and hemodynamic variation. Materials and methods: This is a prospective double blinded study which will include 60 patients. They will be randomly assigned into the two groups including BLD group (n=30) which contain bupivacaine and lignocaine with adrenaline as local anesthetics along with dexamethasone as an adjuvant. The other BL group (n=30) includes bupivacaine and lignocaine with adrenaline as local anesthetics. Using the chi square and p- value, the two groups will be compared for efficacy. Results: It is expected that the duration of analgesia in BLD group will be more as compared to BL group. Postoperative hemodynamic variables with no significant difference between the groups will be expected. Conclusion: It is expected that dexamethasone will significantly prolong the analgesia when it is added as an adjuvant to the local anesthetics in supraclavicular block in a patient undergoing upper limb orthopedic upper limb surgeries.
Keyword: Supraclavicular block, dexamethasone, lignocaine, bupivacaine.
DOI: https://doi.org/10.31838/ijpr/2019.11.04.517
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