International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 7, Issue 11 (2021)

Comparison of effect of addition of dexamethasone to bupivacaine for supraclavicular brachial plexus block, on incidence and duration of radial nerve palsy due to surgical manipulation and recovery period, in patients posted for middle and lower end fracture humerus


Vandana Sharma, Vikesh Bhatt, Surinder Singh

Objective: To compare the effect of addition of dexamethasone to Bupivacaine, on incidence and duration of radial nerve palsy due to surgical manipulation and recovery period, for supraclavicular brachial plexus block in patient scheduled for middle and lower end fracture humerus surgery. Methodology: Present study is going to be a prospective randomized double blind study, to be conducted on 120 patients, (60 cases and 60 control groups), of ASA grade I and II, aged between 18 to 60 years, with no history of hypersensitivity to local anesthetics, no bleeding disorders, with no pre-existing peripheral neuropathy, also excluding pregnant and lactating women, which will be scheduled for upper limb surgery of fracture humerus of middle and lower end and will be divided into two Group of 60 each. Group D1 recieves LA 0.5% bupivacaine 12 ml plus lignocaine adrenaline 12 ml plus dexamethasone 0.1mg/kg diluted with normal saline up to 6ml total volume 30 ml and group D2 recieves LA 0.5% bupivacaine 12 ml plus lignocaine adrenaline 12 ml plus diluted with normal saline up to 6ml total volume 30 ml. Intra op monitoring will be done for the onset and duration of sensory and motor block, duration of analgesia, hemodynamic parameters, post op. monitoring will be done for the duration of sensory and motor block and any incidence of radial nerve palsy and follow up for recovery period. (Randomization will be done by computer generated slips randomly given to the patients selected for study. Either patients nor doctor know who is receiving what treatment.) Result: Onset time of sensory and motor block were earlier and duration of analgesia were longer in Group D2 than in GroupD1 (p<0.001) and also found reduction in number of rescue analgesic doses consumption in 24 hours in GroupD2 than in GroupD1, incidence of radial nerve palsy was significantly reduced in Group D2(P<0.001) after surgical manipulation.
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How to cite this article:
Vandana Sharma, Vikesh Bhatt, Surinder Singh. Comparison of effect of addition of dexamethasone to bupivacaine for supraclavicular brachial plexus block, on incidence and duration of radial nerve palsy due to surgical manipulation and recovery period, in patients posted for middle and lower end fracture humerus. International Journal of Medical and Health Research, Volume 7, Issue 11, 2021, Pages 45-48
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