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ISSN: 2394-4137 (E) 2394-6318 (P)

IJIMS.2016.131

Type of Article: Original Research

Volume 3; Issue 6: June 2016

Page No.: 321-326

DOI: 10.16965/ijims.2016.131

Comparison of  Tramadol and Dexamethasone as an adjuvant to Bupivacaine in Supraclavicular brachial plexus block: A Randomised Comparative Study In Patients undergoing Elective Upper limb surgeries

Sudha shah *1, Bharat Shah 2, Chameli Deb 3.

*1 Professor, Department of Anesthesia, Parul Institute of Medical Sciences and Research, Vadodara, Gujarat, India

2 Dean/Professsor, Department of Anesthesia, B.J  Medical College, Ahmedabad, Gujarat, India.

3 Ex. Assistant Professor, Department of anesthesia, B.J  medical college, Ahmedabad, Gujarat, India.

CORRESPONDING AUTHOR ADDRESS: Dr. Sudha shah Professor, Department of Anesthesia, Parul Institute of Medical Sciences and Research, Vadodara, Gujarat, India. E-Mail: sudhashah11111@gmail.com

ABSTRACT

Background: Supraclavicular nerve block is a good alternative to general anesthesia for upper limb surgery. This avoids the untoward effects of general anesthetic drugs and upper airway instrumentation. It achieves complete muscle relaxation, intraoperative hemodynamic stability, and postoperative analgesia.

Objectives: To compare the postoperative analgesia following supraclavicular brachial plexus block with Tramadol or Dexamethasone as an adjuvant  to bupivacaine in elective upper extremity surgery.

Materials and Methods: Total 60 patients of ASA I and II undergoing upper extremity surgery under brachial plexus block with Bupivacaine were randomly divided in to two groups;  group A  received Tramadol (2mg/kg) and  group B  received Dexamethasone (0.15mg/kg) as an adjuvant  to Bupivacaine. The duration of postoperative analgesia was recorded in both groups using pain VAS score which was determined by maximum VAS score of 8-10 and when patient demands for additional analgesia.

Results: The mean duration of postoperative analgesia in the Dexamethasone group was 1023.87 -+161.01  minutes while in the tramadol group it was 454.47+-44.29 minutes.

Conclusion: Dexamethasone with local anaesthetic prolongs postoperative analgesia significantly longer than Tramadol (P<0.05) when used as admixture to local anaesthetic in brachial plexus block in upper extremity surgery.

Key Words: Dexamethasone, Tramadol, Bupivacaine.

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