Comparison of Use of Levobupivacaine with Dexamethasone versus Plain Levobupivacaine in Supraclavicular Brachial Plexus Block for Forearm and Hand Surgeries: A Randomised Control - Double Blinded Study

Manish Kumar Gupta, Ashwini Nagar, Rakesh Kumar Choudhary, S. P. Chittora, Rajan Nanda

Abstract: Introduction: Supraclavicular brachial plexus block provide important advantages including excellent pain control, reduced side effect and shortened stay in the post anaesthesia care unit. This study was aimed to compare anesthetic characteristics along with side effects of levobupivacaine and levobupivacaine with dexamethasone in supraclavicular block. Methodology: Sixty patients of ASA I and II scheduled to undergo elective upper limb surgery were randomly divided into two groups, Group A (n=30) patients received Inj. Levobupivacaine 0.5% 20ml + Inj. Normal saline 2ml and Group B (n=30) patients received Inj. Levobupivacaine 0.5% 20ml + Inj. Dexamethasone (8mg) 2ml in supraclavicular block. Anaesthetic characteristics, vitals and side effects were observed intraoperatively and 20hr postoperatively. Results: The onset of sensory and motor block for group B is faster and duration of sensory and motor block is prolonged when compared with group A. The time for duration of analgesia is 642.73 ? 54.09 (min) in group A and 898.37 ? 92.98 (min) in group B. (p<0.001) Thus, duration of analgesia is significantly prolonged in group B when compared with group A. Conclusion: In supraclavicular block total duration of analgesia can be prolonged by addition of dexamethasone to levobupivacaine without increasing significant complications.

Keywords: supraclavicular block, levobupivacaine, dexamethasone, duration of analgesia

How to Cite?: Manish Kumar Gupta, Ashwini Nagar, Rakesh Kumar Choudhary, S. P. Chittora, Rajan Nanda, "Comparison of Use of Levobupivacaine with Dexamethasone versus Plain Levobupivacaine in Supraclavicular Brachial Plexus Block for Forearm and Hand Surgeries: A Randomised Control - Double Blinded Study", Volume 12 Issue 4, April 2023, International Journal of Science and Research (IJSR), Pages: 375-379, https://www.ijsr.net/getabstract.php?paperid=SR23405103951, DOI: https://dx.doi.org/10.21275/SR23405103951