Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Evaluation of the Efficacy of Postoperative Analgesia of Ropivacaine with and Without the Addition of Adjuvant Dexamethasone in Brachial Plexus Block
B.P. Bindushree, Yogesh J. Kalyanimath and R. Harsha
Page: 260-265 | Received 16 Mar 2024, Published online: 06 May 2024
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Abstract
Use of an interscalene block as the primary anesthetic modality enhances the number of patients that are fit for orthopedic surgery and reduces the immediate postoperative pain. In spite of all the above said, the enhanced post operative analgesia is short lived and the use of the brachial plexus block has not been shown to improve pain scores beyond 24 hours postoperatively. The study was conducted on 60 patients undergoing upper limb surgeries under brachial plexus block. Patients were randomly divided into two groups. Group RD (n=30) was given block with 30ml of 0.5% Ropivacaine +2ml dexamethasone (8mg). Group R (n=30) was given block with 30ml of 0.5% Ropivacaine +2ml Saline. The mean time for Onset of the motor block was 6.66±1.26 minutes in group‐RD and 6.88± 0.84 minutes in group‐R (P >0.05) and thus statistically not significant. The total duration of Post‐Operativeerative analgesia was 21.2 ±3.23 hrs in group RD and 10.24±1.57hrs. In group R, the p value being < 0.001. Thus total duration of post operative analgesia was significantly longer in group RD patients compared to group R patients.
How to cite this article:
B.P. Bindushree, Yogesh J. Kalyanimath and R. Harsha. Evaluation of the Efficacy of Postoperative Analgesia of Ropivacaine with and Without the Addition of Adjuvant Dexamethasone in Brachial Plexus Block.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.6.260.265
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.6.260.265