COMPARATIVE EVALUATION OF ROPIVACAINE ALONE V/S ROPIVACAINE AND DEXAMETHASONE FOR INTERSCALENE BRACHIAL PLEXUS BLOCK IN UPPER LIMB SURGERIES
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Keywords
Ropivacaine, Dexamethasone, Interscalene brachial plexus block, Upper limb surgery, Pain management.
Abstract
Background: Effective perioperative pain management is crucial in upper limb surgeries, impacting patient outcomes and recovery. This study evaluates the efficacy of ropivacaine alone versus ropivacaine combined with dexamethasone in interscalene brachial plexus block (ISB). Methods: A prospective, randomized, double-blind study was conducted on 60 patients undergoing upper limb surgeries. Patients were divided into two groups: Group A received 30 ml of 0.5% ropivacaine plus 2 ml of normal saline, while Group B received 30 ml of 0.5% ropivacaine plus 2 ml (8 mg) of dexamethasone. The onset and duration of sensory and motor blocks, total duration of postoperative analgesia, and adverse effects were recorded. Results: Group B exhibited a significantly longer duration of sensory block (9.33 ± 0.802 hours) and motor block (7.53 ± 0.819 hours) compared to Group A (7.60 ± 0.675 hours and 6.17 ± 0.531 hours, respectively). The total duration of postoperative analgesia was also significantly longer in Group B (17.00 ± 1.819 hours) than in Group A (9.00 ± 1.259 hours). Conclusion: The addition of dexamethasone to ropivacaine significantly enhances the duration of analgesia and motor block in ISB, offering superior pain management in upper limb surgeries.
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References
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