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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Comparison Between Bupivacaine vs. Bupivacaine plus Potassium Chloride in Supra clavicular Brachial Plexus Block: Double Blind Randomized Controlled Trial

Dindor Nisarg Ramanbhai, Komal Shah, Jugal Pankaj Shukla and Kaushikkumar Lakhabhai Vaniya
Page: 298-303 | Received 12 Jan 2024, Published online: 15 Feb 2024

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https://doi.org/10.36478/10.59218/makrjms.2024.2.298.303

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Abstract

Pain, an unpleasant sensory and emotional experience linked to tissue damage, is a key concern for anesthesiologists. Regional anesthesia, blocking peripheral nerve conduction with local anesthetics, is now established as effective and accepted as general anesthesia. The supra clavicular brachial plexus block is a widely used technique, offering safe, effective and cost‐efficient anesthesia with prolonged post‐operative pain relief. Adding adjuvants to the local anesthetic can further extend the pain‐free period. This study compares plain bupivacaine with bupivacaine plus potassium chloride in brachial plexus block. Sixty patients aged 18‐60 years, of ASA Grade I‐III, scheduled for upper limb surgeries, were randomly assigned to two groups. Group I received 30 ml of 0.375% bupivacaine with 0.2 mmol of potassium chloride, prepared by adding 0.1 ml of potassium chloride and 10 ml of distilled water to 20 ml of 0.5% bupivacaine. Group II received 30 ml of 0.375% plain bupivacaine. The study assessed the onset and duration of sensory and motor blockade, along with the duration of effective post‐operative analgesia following supra clavicular brachial plexus block in both groups. The onset of sensory and motor blockade was early in potassium group when compared to plain bupivacaine group, the duration of the blockade was prolonged in potassium group when compared to other group, the duration of effective post‐operative analgesia was better in potassium group when compared to other group. Potassium chloride as an adjuvant to bupivacaine has advantages in supra clavicular brachial plexus block for upper limb surgeries.

How to cite this article:

Dindor Nisarg Ramanbhai, Komal Shah, Jugal Pankaj Shukla and Kaushikkumar Lakhabhai Vaniya. Comparison Between Bupivacaine vs. Bupivacaine plus Potassium Chloride in Supra clavicular Brachial Plexus Block: Double Blind Randomized Controlled Trial.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.298.303
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.298.303