Bewaard in:
| Hoofdauteurs: | , , , , |
|---|---|
| Formaat: | Recurso digital |
| Taal: | Engels |
| Gepubliceerd in: |
Zenodo
2025
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| Onderwerpen: | |
| Online toegang: | https://doi.org/10.5281/zenodo.15465827 |
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Inhoudsopgave:
- <p>Introduction: Infraclavicular approach for brachial plexus block is under used but effective technique. The<br>introduction of ultrasonography had rekindled the interest in infraclavicular brachial plexus block.<br>Dexamethasone or Ketamine when added as adjuvant to local anaesthetic like ropivacaine will increase the<br>duration of analgesia<br>Objectives: To compare postoperative analgesic effect, between Dexamethasone and Ketamine added as<br>adjuvant to 0.2% Ropivacaine in ultrasound guided Infraclavicular Brachial Plexus Block. The primary<br>objective of the study was the duration of post op analgesia or time taken for first rescue analgesia in hours. The<br>secondary objectives were to find postoperative pain score and total rescue analgesic consumption in 24 hours.<br>Methods: This was a prospective comparative observational study after institutional and ethics committee<br>approval and patient consent. 100 patients aged 18-60 years with BMI <30 kg/m2 belonging to American<br>Society of Anaesthesiologist (ASA) physical status 1&2 undergoing elective forearm surgery were divided into<br>two groups of 50 each. Group D received USG guided infraclavicular brachial plexus block with 0.2%<br>Ropivacaine 28ml + inj Dexamethasone 8 mg and Group K received 0.2% Ropivacaine 28 ml + inj Ketamine<br>25μg/kg after giving general anaesthesia. Each patient received Inj Paracetamol 1 gm IV intraoperatively and<br>Q8th hourly in post-operative period. Duration of analgesia, post-operative pain score and analgesic<br>requirements were studied in both groups. Also patient satisfaction score at 24 hour and occurrence of any<br>complications were noted. Statistical analysis was done with SPSS software version 16. Qualitative data were<br>compared using Chi square test and Quantitative data compared using independent t test. A P value of less than<br>0.05 was taken as significant.<br>Results: The mean time required for first rescue analgesic was significantly more in Group D compared to<br>Group K, 19.94+/-2.92 vs 10.76+/-1.69 respectively (P <0.05). The mean total rescue analgesic required in 24<br>hours significantly low in GroupD compared to Group K, 1.02+/-0.552 vs 1.96+/-0.532 (P <0.05). There was a<br>low NRS score in Group D compared to Group K.<br>Conclusion: Addition of Dexamethasone is superior to Ketamine as adjuvant to 0.2% ropivacaine for post<br>operative analgesia in patient receiving infraclavicular brachial plexus block.</p>