Dexamethasone added to Bupivacaine prolongs the duration of analgesia for supraclavicular brachial plexus block

Authors

  • Naimul Hoq Classified Specialist in Anaesthesiology, Department of Anaesthesia, CMH, Dhaka
  • Abdullah Al Maruf Classified Specialist in Anaesthesiology, Department of Anaesthesia, BGB Hospital, Pilkhana, Dhaka

DOI:

https://doi.org/10.3329/bjms.v17i2.35887

Keywords:

Brachial Plexus Block, Bupivacaine, Dexamethasone

Abstract

Background: Local anaesthetics alone for supraclavicular brachial plexus block provide good operative conditions but have shorter duration of postoperative analgesia. Numerous adjuncts have been added to enhance the efficacy of the block. Steroids have anti-inflammatory as well as analgesic effects.

Objectives: This study has been undertaken with a view to find out the efficacy of dexamethasone to increase the duration of analgesia when used as an adjuvant to bupivacaine in supraclavicular brachial plexus block in upper extremity surgery.

Methods: Total 60 patients of ASA I and II undergoing upper extremity surgery under brachial plexus block were randomly divided into two equal groups of 30 each; Bupivacaine group-‘’A’’ received 0.5% bupivacaine 2 mg/kg with distilled water 15 ml and Dexamethasone group-‘’B’’ received 0.5% bupivacaine 2 mg/kg with dexamethasone (0.2mg/kg) with distilled water 15 ml. The duration of analgesia in the two groups were compared.

Results: There was markedly prolonged duration of analgesia in dexamethasone group. The mean duration of analgesia in bupivacaine group was 455 ± 17.09 minutes, whereas in dexamethasone group it was 864.50 ± 25.19 minutes. The results were statistically highly significant.

Conclusion: Dexamethasone when added to bupivacaine in brachial plexus block it results significantly prolonged duration of post-operative analgesia, which was significantly higher in comparison to bupivacaine when it is used alone.

Bangladesh Journal of Medical Science Vol.17(2) 2018 p.296-301

Downloads

Download data is not yet available.
Abstract
21
PDF
33

Author Biography

Naimul Hoq, Classified Specialist in Anaesthesiology, Department of Anaesthesia, CMH, Dhaka



Downloads

Published

2018-03-23

How to Cite

Hoq, N., & Maruf, A. A. (2018). Dexamethasone added to Bupivacaine prolongs the duration of analgesia for supraclavicular brachial plexus block. Bangladesh Journal of Medical Science, 17(2), 296–301. https://doi.org/10.3329/bjms.v17i2.35887

Issue

Vol. 17 No. 2 (2018)

Section

Original Articles

License

Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:

  1. Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.