2024, Vol. 7, Issue 1, Part B

Material and Methods: Present prospective study performed on 240 patients scheduled for upper limb surgeries at Department of Anesthesia, Tertiary Care Teaching Institute of India for the duration of 1 year. 240 patients were randomly allocated to either receive 30 ml ropivacaine 0.5% (Group R), 30 ml ropivacaine 0.5% with fentanyl 50 mcg (Group RF) or 30 ml ropivacaine 0.5% with dexmedetomidine 50 mcg (Group RD) in Supraclavicular brachial plexus. Patients were observed for onset and duration of sensory and motor blockade, duration of analgesia, postoperative pain, and adverse effects.

Results: The onset time of sensory and motor blockade was shortened and the duration of the block was significantly prolonged in the B Group (p<0.05) and C Group (p<0.05). The duration of postoperative analgesia was also longer in the B Group compared with the Group C and Group A.

Conclusion: In ultrasound guided supraclavicular block for elbow, forearm and hand surgeries, when compared to group A, the mixture of Bupivacaine, Lignocaine with Dexmedetomidine effectively reduced the onset time of sensory and motor blocks. It increased sensory and motor blocks’ duration time without considerable side effects such as hypotension and bradycardia.