ANEANESTHESIA EFFICIENCY WHEN ADDING DEXAMETHASONE TO LEVOBUPIVACAIN IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK FOR UPER LIMB SURGERY
Overview
Abstract:
Objectives: To compare the effects of sensory block,
motor block, anesthesia and postoperative analgesia for upper limb surgery when
adding 8mg dexamethasone to 0.5% levobupvacaine and 5mcg/ml adrenaline with do
not add dexamethasone in supraclavicular brachial plexus anesthesia. Methods: A descriptive, prospective,
randomized, controlled study on 60 patients undergoing planned upper limb
surgery at Thai Nguyen Central Hospital from January 2022 to September 2022. Results: The rate of good anesthesia
quality in LA and LAD groups was 90% and 93.33%, respectively. There are no
cases of poor insensitivity quality. The difference between the 2 groups was
not statistically significant. The time of onset sensory and motor block in the
LAD group (5.33 ± 1.42 minutes and 8.40 ± 2.04 minutes, respectively) significantly
lower than LA group (7.20 ± 1.56 minutes and
10.23 ± 2.23 minutes, respectively). The duration of sensory and motor block, time
for the first rescue analgesia in the LAD group
(1132.20 ± 224.84 minutes, 995.37 ± 227.03 minutes and 1107.37 ± 219.09 minutes, respectively) significantly longer
than the LA group (871.50 ± 154.37 minutes, 733.93 ± 161.83 minutes and 842.37
± 159.02 minutes, respectively). Conclusions: The addition of dexamethasone to levobupivacaine in
supraclavicular plexus anesthesia has been shown to reduce the onset time,
prolong the duration of sensory and motor block, and prolong postoperative
analgesia. It also gives good anesthesia results in upper extremity surgery.
Keyword(s): Brachial plexus block, levobupivacaine, dexamethasone, postoperative analgesia.
Article number | 280 |
Journal | Vietnam Medical Journal |
Volume | 523 |
Issue number | 2 |
Publication status | Published - Feb-2023 |
ISBN | 1859-1868 |