Home > Journals > Indian Journal of Anesthesia and Analgesia

Indian Journal of Anesthesia and Analgesia

Submit your article Read this Journals View all journals
Full Text (PDF)
Original Article

Comparision of Bupivacaine and Bupivacaine with Dexamethasone Combination in Brachial plexus Block by Supraclavicular Approach

P Anand Vijaya Bhasker , Ramakrishna Shatagopam , P Anand Vijaya Bhasker

Author Information

Licence:



Indian Journal of Anesthesia and Analgesia 6(6):p 2176-2181, November-December 2019. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6619.47

How Cite This Article:

Ramakrishna Shatagopam, P. Anand Vijaya Bhasker. Comparision of Bupivacaine and Bupivacaine with Dexamethasone Combination in Brachial plexus Block by Supraclavicular Approach. Indian J Anesth Analg. 2019;6(6 Part - II):2176-2181.

Timeline

Received : N/A         Accepted : N/A          Published : N/A

Abstract

Introduction: As an alternative to general anesthesia, for upper limb surgeries, brachial plexus block is a popular approach. This type of block avoids the untoward effects of general anesthesia including upper airway instrumentation and thus prevents the consequences as shown by the available literatures. Aim: To compare 0.5% bupivacaine with normal saline and 0.5% bupivacaine with Dexamethasone (8 mg) in brachial plexus block by supraclavicular approach. Materials and Methods: This study was a single blinded, randomized study which was taken up among 70 patients aged between 18 to 65 years of ASA I and II posted for upper limbs. They were randomly divided into two equal groups where first group received 28 ml of Bupivacaine + 2 ml NS and second group received 28 ml of Bupivacaine + 2 ml Dexamethasone (8 mg) by supra clavicular approach. Results: Between the mean ages of two groups, there was no statistically significant difference. In Bupivacaine group, the mean time for onset of sensory block was 17.4 (± 3.5) min and in Bupivacaine dexamethasone group was 11.8 (± 2.7) min (p < 0.05). The mean time for onset of motor block in Bupivacaine group was 8.5 (± 4.4) min and in Bupivacaine dexamethasone group was 6.4 (± 1.8) min (p < 0.05). Both the differences were statistically significant (p < 0.05). The mean duration of sensory block in Bupivacaine group was 2.03 (± 1.4) hours and in Bupivacaine dexamethasone group was 5.85 (± 0.84) hours (p < 0.05). The mean duration of motor block in Bupivacaine group was 2.48 (± 0.59) hours and in Bupivacaine dexamethasone group was 6.97 (± 0.47) hours (p < 0.05). In Bupivacaine dexamethasone group patients required only 1 rescue analgesic dose. Rescue analgesic requirement in Bupivacaine group was higher (p < 0.05). No significant difference in hemodynamic variables i.e., pulse rate, systolic BP, diastolic BP and O2 saturation. Conclusion: In brachial plexus block, addition of dexamethasone to bupivacaine produced faster and longer duration of block and less number of rescue analgesics in post-op 24 hours.

References

No records found.


About this article

Cite this article

Ramakrishna Shatagopam, P. Anand Vijaya Bhasker. Comparision of Bupivacaine and Bupivacaine with Dexamethasone Combination in Brachial plexus Block by Supraclavicular Approach. Indian J Anesth Analg. 2019;6(6 Part - II):2176-2181.

Licence:



Received Accepted Published
N/A N/A N/A
DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.6619.47

Keywords

Bupivacaine; Dexamethasone ; Brachial plexus Block.

Article Level Metrics

Last Updated

Monday 13 July 2026, 05:10:33 (IST)

5647

Accesses

4
678
00

Citations


NA
NA
NA

Download citation


Article Keywords

Keyword Highlighting

Highlight selected keywords in the article text.


Timeline

Received N/A
Accepted N/A
Published N/A

licence




Access this article

Reprint Order Form
Buy this Article
Institutional Subscriptions

Share