In upper extremity procedures, the supra clavicular brachial plexus block was a significant, secure and safer method than general anaesthesia. The study was carried out with local anaesthetic agent inj. Levobupivacaine 0.5% which is mixed with synthetic glucocorticoid Dexamethasone to examine the effects. This study aims to compare 2mg vs 4mg Dexamethasone as an adjuvant with local anaesthetic drug by ultrasound guided supra clavicular brachial plexus block. In this prospective observational study we included 48 patients between the age of 18‐75 years with all ASA grades who were posted for upper limb surgery. They were randomly allocated into 2 groups of 24. Group R 24 received 20 ml of inj. 0.5% Levobupivacaine with (2 mg) Dexamethasone and Group S received 20ml of inj. 0.5% Levobupivacaine with (4mg) of inj Dexamethasone. The present study was conducted among 48 participants. The onset of action of sensory blockade between Group R and Group S did not show any significant difference in both Groups at 0mins, 5mins, 10mins, 15mins, 20mins, 25mins and 30mins. The onset of action of motor blockade between Group R and Group S did not show any significant difference in both Groups at 0mins, 5mins, 10mins, 15mins, 20mins, 25mins and 30mins. The Independent sample “t” test was used to compare the onset of time (minutes) of sensory and motor blockade between the groups. There was no difference (p>0.05) in the onset of time of sensory as well as motor blockade between Group R and Group S. Dexamethasone added to Levobupivacaine 0.5% for supra clavicular brachial plexus block has no significant difference in the onset of action of sensory and motor blockade in Group R and Group S.
Gandeeva Ramesh Mudigere, Rosy Rajagopal and Priya Mitali. Comparative Study of 2mg Vs 4mg of Injection Dexamethasone as an Adjuvant For Ultrasound Guided Supra Clavicular Brachial Plexus Block.
DOI: https://doi.org/10.36478/10.36478/makrjms.2025.1.259.264
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2025.1.259.264