International Journal of Medical Anesthesiology
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P-ISSN: 2664-3766
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2024, Vol. 7, Issue 3, Part A

to study the effectiveness of dexamethasone as an adjuvant with levobupivacaine 0.5% in USG guided interscalene brachial plexus block for shoulder surgeries


Author(s): Dr.Sanika Sudhir Shinde, Dr. Dhanashree Dongare, Dr. Sagade Tejal Kalyanrao and Dr. Gayatri Rajesh Parjane

Abstract:
Introduction: Pain can be intense after orthopedic surgeries. To improve analgesia and facilitate early mobilization, regional anaesthesia in the form of interscalene brachial plexus block is often used along with general anaesthesia for arthroscopic shoulder surgeries. Here we have studied postoperative analgesic effect of ultrasound guided interscalene block with Inj. Levobupivacaine, duration of action of said block (sensory and motor) as well as the overall analgesic consumption in the first 24 hours of postoperative period after addition of dexamethasone.
Objectives: Primary objective was to study the effect on duration of analgesia. Secondary objectives were to study the effect on (i) onset of blockade (ii) duration of sensory and motor blockade (iii) total analgesic consumption in 24 hours.
Materials and Methods: It was a prospective, randomized, double-blinded study. After approval from institutional ethics committee, sixty patients of either sex, belonging to ASA I/II, posted for arthroscopic shoulder surgeries, under ultrasound guided interscalene brachial plexus block, with general anaesthesia, were divided into two groups [30 patients in each group]. Patients were given interscalene brachial plexus block as follows:-
Group A – Inj. Levobupivacaine 0.5% 20ml with normal saline 1ml
Group B – Inj. Levobupivacaine 0.5% 20ml with dexamethasone 4mg
Results: The study revealed that patients in group B had significantly prolonged mean duration of analgesia, lower VAS score, and less number of rescue analgesic requirements in first 24 hours postoperatively as compared to group A. No adverse effects recorded in any group.
Conclusion: The study concluded that dexamethasone when used as an adjuvant with levobupivacaine in ultrasound guided brachial plexus block, provided profound prolongation of duration of analgesia and reduces analgesic consumption of patients undergoing arthroscopic shoulder surgeries.


DOI: 10.33545/26643766.2024.v7.i3a.482

Pages: 23-28 | Views: 188 | Downloads: 93

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International Journal of Medical Anesthesiology
How to cite this article:
Dr.Sanika Sudhir Shinde, Dr. Dhanashree Dongare, Dr. Sagade Tejal Kalyanrao, Dr. Gayatri Rajesh Parjane. to study the effectiveness of dexamethasone as an adjuvant with levobupivacaine 0.5% in USG guided interscalene brachial plexus block for shoulder surgeries. Int J Med Anesthesiology 2024;7(3):23-28. DOI: 10.33545/26643766.2024.v7.i3a.482
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