A comparative study of the efficacy between 0.5% bupivacaine and 0.5% bupivacaine-dexamethasone 8mg combination in supraclavicular brachial plexus block

https://doi.org/10.53730/ijhs.v6nS5.9730

Authors

  • Swadika. N MBBS 2nd year Postgraduate, Department of Anaesthesiology, Vinayaka Mission Kirupanda Variyar Medical College and Hospital, Salem
  • Suvitha. S MBBS MD, Department of Anaesthesiology, Vinayaka Mission Kirupanda Variyar Medical College and Hospital, Salem
  • Brindha Professor, MBBS., DA., MD., Department of Anaesthesiology, Vinayaka Mission Kirupanda Variyar Medical College and Hospital, Salem

Keywords:

Bupivacaine, Dexamethasone, Supraclavicular, Brachialplexus Block, Comparative study

Abstract

Background: Initially the concept of pain was emotional rather than a sensory modality. The word pain is acquired from the Greek word poine which means “penalty”.1 The International Association for the Study of Pain (IASP) described pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage”.2 Peripheral nerve blocks have become a popular anaesthetic option in the perioperative management of patients because nerve blocks provide better postoperative analgesia than does general anaesthesia, while avoiding the cardiopulmonary and central nervous system effects of general anaesthesia. Peripheral nerve block is a technique which uses local anaesthetic to be deposited around a target nerve and block the conduction of action potential thus not allowing pain signals to be transmitted to the pain centre in the brain. Materials & methods: A prospective randomised single blinded study was conducted at Vinayaka Missions Kirupananda Variyar Medical College & Hospitals, Salem from December 2019 to May 2021.

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References

Lee JA, Atkinson RS, Rushman GB, Davies NJ. Lee’s Synopsis of Anaesthesia. 11th ed. Oxford: Buttersworth Heinmann Ltd.,; 1993. p. 642.

Dar FA, Najar MohdR, Jan N. Effect of addition of dexamethasone to ropivacaine in supraclavicular brachial plexus block. Indian J Pain 2013;27:165 9.

Liu J, Richman KA, Grodofsky SR, Bhatt S, Huffman GR, Kelly JD, 4th, et al. Is there a dose response of dexamethasone as adjuvant for supraclavicular brachial plexus nerve block? A prospective randomized double-blinded clinical study. J Clin Anesth. 2015;27:237–42

Duma A, Urbanek B, Sitzwohl C, Kreiger A, Zimpfer M, Kapral S. Clonidine as an adjuvant to local anaesthetic axillary brachial plexus block : a randomized, controlled study. Br J Anaesth 2005;94:112-16.

Ammar AS, Mahmoud KM. Effect of adding dexamethasone to bupivacaine on transversus abdominis plane block for abdominal hysterectomy: A prospective randomized controlled trial. Saudi J Anaesth 2012;6:229 33.

Wahyuni, S., Chalid, S. M. T., Pelupessy, N. U., Arifuddin, S., Idris, I., & Usman, A. N. (2022). Comparison of the use of shock index and modified early obstetric warning score in COVID-19 obstetric emergency patients as ICU care parameters. International Journal of Health & Medical Sciences, 5(1), 80-90. https://doi.org/10.21744/ijhms.v5n1.1844

Cummings KC, 3rd, Napierkowski DE, Parra-Sanchez I, Kurz A, Dalton JE, Brems JJ, et al. Effect of dexamethasone on the duration of interscalene nerve blocks with ropivacaine or bupivacaine. Br J Anaesth. 2011;107:446–53

Noss C, MacKenzie L, Kostash M. Dexamethasone- a promising adjuvant in brachial plexus anaesthesia? A systematic review. J Anesth Clin Res. 2014;5:421.

Huynh TM, Marret E, Bonnet F. Combination of dexamethasone and local anaesthetic solution in peripheral nerve blocks: Ameta analysis of randomised controlled trials. Eur J Anaesthesiol 2015;32:751 8

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2022). Post-pandemic health and its sustainability: Educational situation. International Journal of Health Sciences, 6(1), i-v. https://doi.org/10.53730/ijhs.v6n1.5949

El Baradey GF, Elshmaa NS. The efficacy of adding dexamethasone, midazolam, or epinephrine to 0.5% bupivacaine in supraclavicular brachial plexus block. Saudi J Anaesth 2014;8:S78 83.

Vieira PA, Pulai I, Tsao GC, Manikantan P, Keller B, Connelly NR, et al. Dexamethasone with bupivacaine increases duration of analgesia in ultrasound guided interscalene brachial plexus blockade. Eur J Anaesthesiol 2010;27:285 8.

Choi S. Rodseth R and McCartney CJL .Effects of Dexamethasone as a local anesthetic adjuvant for Brachial Plexus Block : a systematic Review and meta – analysis of randomized trials. Br J Anaesth 2014-112:427-39.

Biradar P A , Kaimar P, Gopalkrishna K. Effect of dexamethasone added to Lignocaine in supraclavicular block: A Prospective Randomised double blind study . Indian J Anaesth 2013;57:180-4.

Published

26-06-2022

How to Cite

Swadika, N., Suvitha, S., & Brindha, B. (2022). A comparative study of the efficacy between 0.5% bupivacaine and 0.5% bupivacaine-dexamethasone 8mg combination in supraclavicular brachial plexus block. International Journal of Health Sciences, 6(S5), 4498–4505. https://doi.org/10.53730/ijhs.v6nS5.9730

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Section

Peer Review Articles