What is it about?
Comparison of Low Dose Fentanyl with Low Dose Dexamethasone as an Adjuvant to 0.5% Bupivacaine
Featured Image
Photo by Louis Hansel on Unsplash
Why is it important?
Background: To see effect of low dose fentanyl vs low dose dexamethasone in ultrasound guided supraclavicular block via multipoint injection technique. Methods: This double blinded randomized controlled study was carried out on 60 patients belonging to ASA grade I and II, undergoing surgeries of the upper limb under USG guided supraclavicular block via multipoint injection technique. Group I (NS) received 20 ml 0.5% bupivacaine with 1 ml normal saline. Group II (Fenta) received 20 ml 0.5% bupivacaine with 10 µg (1 ml) fentanyl. Group III (Dexa) received 20 ml 0.5% bupivacaine with 4 mg (1 ml) dexamethasone. Results: The onset of sensory blockade in group 1 (NS) was 9.6430 ± 1.19025 min, in group 2 (Fenta) it was 10.3395 ± 0.59338 min, whereas in group 3 (Dexa) it was 3.9735 ± 0.41802 min. The onset of motor blockade was 17.9025 ± 1.13816 min in group 1 (NS), 17.9530 ± 0.85577 min in group 2 (Fenta), 8.6145 ± 1.15154 min in group 3 (Dexa). The mean duration of sensory blockade in group 1 (NS) was 259.200 ± 36.3544 min, in group 2 (Fenta) it was 406.350 ± 20.1240 min, whereas in group 3 (Dexa) it was 1031.500 ± 173.8676 min. The mean duration of motor block in minutes was 197.900 ± 31.8878 in group 1 (NS), 339.250 ± 26.2616 in group 2 (Fenta) and 934.950 ± 168.9181 min in group 3 (Dexa). Conclusion: The dosage of fentanyl and dexamethasone do not linearly correlate to the degree of blockade. Dexamethasone is superior to fentanyl as an adjuvant in supraclavicular block.
Perspectives
Background: To see effect of low dose fentanyl vs low dose dexamethasone in ultrasound guided supraclavicular block via multipoint injection technique. Methods: This double blinded randomized controlled study was carried out on 60 patients belonging to ASA grade I and II, undergoing surgeries of the upper limb under USG guided supraclavicular block via multipoint injection technique. Group I (NS) received 20 ml 0.5% bupivacaine with 1 ml normal saline. Group II (Fenta) received 20 ml 0.5% bupivacaine with 10 µg (1 ml) fentanyl. Group III (Dexa) received 20 ml 0.5% bupivacaine with 4 mg (1 ml) dexamethasone. Results: The onset of sensory blockade in group 1 (NS) was 9.6430 ± 1.19025 min, in group 2 (Fenta) it was 10.3395 ± 0.59338 min, whereas in group 3 (Dexa) it was 3.9735 ± 0.41802 min. The onset of motor blockade was 17.9025 ± 1.13816 min in group 1 (NS), 17.9530 ± 0.85577 min in group 2 (Fenta), 8.6145 ± 1.15154 min in group 3 (Dexa). The mean duration of sensory blockade in group 1 (NS) was 259.200 ± 36.3544 min, in group 2 (Fenta) it was 406.350 ± 20.1240 min, whereas in group 3 (Dexa) it was 1031.500 ± 173.8676 min. The mean duration of motor block in minutes was 197.900 ± 31.8878 in group 1 (NS), 339.250 ± 26.2616 in group 2 (Fenta) and 934.950 ± 168.9181 min in group 3 (Dexa). Conclusion: The dosage of fentanyl and dexamethasone do not linearly correlate to the degree of blockade. Dexamethasone is superior to fentanyl as an adjuvant in supraclavicular block.
Red Flower Publication Publications
Red Flower Publication Pvt Ltd
Read the Original
This page is a summary of: Comparison of Low Dose Fentanyl with Low Dose Dexamethasone as an Adjuvant to 0.5% Bupivacaine in Supraclavicular Block via Multipoint Injection Technique under Sonographic Guidance, Indian Journal of Anaesthesia and Analgesia, January 2019, Red Flower Publication Private, Ltd.,
DOI: 10.21088/ijaa.2349.8471.6419.42.
You can read the full text:
Contributors
The following have contributed to this page
