Comparative study between dexamethasone and dexmedetomidine in supraclavicular block

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dc.contributor.authorKaur, Mandeepen_US
dc.contributor.authorLakhani, Amiten_US
dc.contributor.authorHashia, A.M.en_US
dc.date.accessioned2020-04-09T07:39:11Z
dc.date.available2020-04-09T07:39:11Z
dc.date.issued2018-01
dc.description.abstractBackground: With the addition of adjuvants to local anaesthetics the onset, duration and quality of brachial plexus block improves to a marked extent. The intent of this study was to compare onset, duration of sensory and motor block along with duration of analgesia when an ?-2 agonist dexmedetomidine or a steroid dexamethasone was added to a mixture of 2% lignocaine with adrenaline and 0.5% bupivacaine.Methods: 100 patients belonging to ASAI and ASAII were included in the study scheduled for upper limb surgeries after taking informed consent. These patients were divided in to two groups having 50 patients in each group. Group D received 20ml of 2% lignocaine with adrenaline plus 18ml of 0.5% bupivacaine plus 50?g of dexmedetomidine and group X received 20ml of 2% lignocaine with adrenaline plus 18ml of 0.5% bupivacaine plus 8mg of dexamethasone. Onset of sensory and motor block, duration of block, quality of intraoperative analgesia and duration of analgesia were recorded.Results: Our study revealed similar onset of sensory block in group D and X. Group D showed early onset and longer duration of motor block compared to group X. Intraoperative haemodynamics were similar in both groups.Conclusions: Our study concludes that using dexmedetomidine as adjuvant prolongs the duration of block and postoperative analgesia compared to dexamethasone with minimal or negligible adverse events.en_US
dc.identifier.affiliationsDepartment of Anaesthesia, Maharishi Markandeshwar Medical College and Hospital, Solan, Himachal Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Orthopaedics, Maharishi Markandeshwar Medical College and Hospital, Solan, Himachal Pradesh, Indiaen_US
dc.identifier.citationKaur Mandeep, Lakhani Amit, Hashia A.M.. Comparative study between dexamethasone and dexmedetomidine in supraclavicular block. International Journal of Advances in Medicine. 2018 Jan; 5(1): 57-61en_US
dc.identifier.issn2349-3925
dc.identifier.issn2349-3933
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/193862
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber1en_US
dc.relation.volume5en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-3933.ijam20175878en_US
dc.subjectBupivacaineen_US
dc.subjectDexmedetomidineen_US
dc.subjectDexamethasoneen_US
dc.subjectLignocaineen_US
dc.subjectPeripheral nerve stimulatoren_US
dc.subjectSupraclavicular brachial plexus blocken_US
dc.titleComparative study between dexamethasone and dexmedetomidine in supraclavicular blocken_US
dc.typeJournal Articleen_US
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