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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Study to Assess the Onset and Duration of Sensory and Motor Block in Both Groups (IV Dexamethasone Compared to Normal Saline) in Patients Undergoing Below Umbilical Surgeries

Rajesh Mudikar, Ashish Mali, Chetankumar Adrat and Jagdish Naik
Page: 430-435 | Received 26 Aug 2024, Published online: 24 Sep 2024

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https://doi.org/10.36478/10.36478/makrjms.2024.10.430.435

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Abstract

Spinal anaesthesia technique is widely used for giving anaesthesia in patients undergoing below umbilical surgeries. Present study was aimed to assess the onset and duration of sensory and motor block in both groups (IV Dexamethasone compared to normal saline) in patients undergoing below umbilical surgeries. Present study was conducted in patients between the age group of 18‐40 years with ASA I and ASA II grade scheduled for below umbilical surgeries requiring spinal anaesthesia, Participants were randomly allocated in 2 groups, as Group A (received 8 mg IV Dexamethasone) and Group B (received 2 ml IV normal saline 0.9%). Significant statistical differences were seen in visual analogue scale at 5, 6, 7, 8, 9, 10, 12, 13, 15, 16, 17, 18, 19, 21, 22, 23 hours between group A and B. (p<.05) No significant differences were seen in visual analogue scale at 3 hours (p value=1), at 4 hours(p value=1), at 14 hours(p value=0.927), at 20 hours(p value=0.156), at 24 hours(p value=0.856) between group A and B. Mean duration of anaesthesia(minutes) in group A was 184.3±3.78 which was significantly higher as compared to group B (169.38±6.04). (p<.0001). Mean duration of analgesia(minutes) in group A was 379.2±9.91 which was significantly higher as compared to group B (289.68±15.97). (p<.0001). Proportion of patients who did not require rescue analgesia was significantly higher in group A as compared to group B. (P<0.0001). Preoperative administration of i.v. dexamethasone just after administration of spinal anaesthesia shows early onset of sensory block, increases the duration of sensory and motor block. It also causes decreases VAS scores in postoperative period, reduces requirement and frequency of rescue analgesia.

How to cite this article:

Rajesh Mudikar, Ashish Mali, Chetankumar Adrat and Jagdish Naik. Study to Assess the Onset and Duration of Sensory and Motor Block in Both Groups (IV Dexamethasone Compared to Normal Saline) in Patients Undergoing Below Umbilical Surgeries.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.10.430.435
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.10.430.435