Comparative Analysis between Dexamethasone and Tramadol as an admixture to Bupivacaine in Supraclavicular Brachial Plexus Block
Authors/Creators
- 1. Professor, Department of Anesthesiology, Banas Medical College and Research Institute, Palanpur, Gujarat
- 2. Associate Professor, Department of Anesthesiology, Banas Medical College and Research Institute, Palanpur, Gujarat
- 3. Assistant Professor, Department of Anesthesiology, Banas Medical College and Research Institute, Palanpur, Gujarat
- 4. Senior Resident, Department of Anesthesiology, Banas Medical College and Research Institute, Palanpur, Gujarat
- 5. Junior Resident, Department of Medicine, Banas Medical College and Research Institute, Palanpur, Gujarat
Description
Background and Aim: There is a list of additives for supraclavicular block that can help enhance the onset, intensity, and duration of the block, which can also be beneficial for postoperative pain relief. Our study sought to compare the effectiveness of Tramadol and Dexamethasone when combined with Bupivacaine in Supraclavicular Brachial Plexus block. We examined various factors including the onset and duration of sensory and motor blockade, haemodynamic variables, and the time to first rescue analgesia within the first 24 hours after surgery. Material and Methods: A study was conducted on 105 patients who were scheduled for elective upper limb surgeries under brachial plexus block. These patients were randomly divided into three groups, with 35 patients in each group. The study involved three groups: one receiving Bupivacaine with Tramadol, another receiving Bupivacaine with Dexamethasone, and a third group receiving Bupivacaine alone. The study recorded the time when the sensory and motor block started and how long it lasted. Hemodynamic variables were measured from the beginning of the study until the first use of a rescue analgesic. Results: The study did not find any statistically significant differences in the age, gender, and body weight of patients in the three groups. The heart rate, systolic blood pressure, diastolic blood pressure, and mean arterial pressure of patients in all three groups were found to be similar at all the observation periods following the initial measurements. Conclusion: In this study, it was found that the combination of Dexamethasone at a specific drug dose was more effective than Tramadol. These findings provide valuable insights into the comparative effectiveness of these two combinations. Additionally, it is recommended to conduct further studies on different drug-dose combinations to confirm the results of the current study and identify the ideal and most efficient dosage of local anaesthetic and adjuvants.
Abstract (English)
Background and Aim: There is a list of additives for supraclavicular block that can help enhance the onset, intensity, and duration of the block, which can also be beneficial for postoperative pain relief. Our study sought to compare the effectiveness of Tramadol and Dexamethasone when combined with Bupivacaine in Supraclavicular Brachial Plexus block. We examined various factors including the onset and duration of sensory and motor blockade, haemodynamic variables, and the time to first rescue analgesia within the first 24 hours after surgery. Material and Methods: A study was conducted on 105 patients who were scheduled for elective upper limb surgeries under brachial plexus block. These patients were randomly divided into three groups, with 35 patients in each group. The study involved three groups: one receiving Bupivacaine with Tramadol, another receiving Bupivacaine with Dexamethasone, and a third group receiving Bupivacaine alone. The study recorded the time when the sensory and motor block started and how long it lasted. Hemodynamic variables were measured from the beginning of the study until the first use of a rescue analgesic. Results: The study did not find any statistically significant differences in the age, gender, and body weight of patients in the three groups. The heart rate, systolic blood pressure, diastolic blood pressure, and mean arterial pressure of patients in all three groups were found to be similar at all the observation periods following the initial measurements. Conclusion: In this study, it was found that the combination of Dexamethasone at a specific drug dose was more effective than Tramadol. These findings provide valuable insights into the comparative effectiveness of these two combinations. Additionally, it is recommended to conduct further studies on different drug-dose combinations to confirm the results of the current study and identify the ideal and most efficient dosage of local anaesthetic and adjuvants.
Files
IJPCR,Vol16,Issue1,Article108.pdf
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Additional details
Dates
- Accepted
-
2023-12-26
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue1,Article108.pdf
- Development Status
- Active
References
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