ANAESTHETIC MANAGEMENT OF A CASE OF TEMPOROMANDIBULAR JOINT ANKYLOSIS POSTED FOR BILATERAL BREAST SURGERY: A CASE REPORT
English

Athaluri Vishnu Vardhan, Paleti Sophia, Sowbhagya Lakshmi B, Vanapalli Sirisha
2014 Journal of Evolution of Medical and Dental Sciences  
BACKGROUND: In this study, we evaluated the effect of Dexamethasone with Bupivacaine compared to Bupivacaine with Normal Saline on the duration of the Supra clavicular block. METHODOLOGY: After obtaining institutional ethical committee's approval and getting informed consent from the patients, 50 patients were randomly divided into two groups D and C comprising of 25 each. We excluded patients less than 50-75kgs weight and patients who had comorbidities like Diabetes Mellitus, Hypertension and
more » ... , Hypertension and people on oral anti-coagulants. Patients were premedicated with Tab. Rantidine 150mg night before surgery and Inj. Midazolam 0.05mg/kg IM 1hr prior to surgery. Group D received 28 ml of 0.5% bupivacaine with 8 mg (2ml) Dexamethasone. Group C received 28 ml of bupivacaine with 2ml of Normal saline. RESULTS: In our study, the mean duration of analgesia in group D was 1278.8 ± 82.83 minutes (21.3 hrs) whereas in group C it was 425.6 ± 53.31 minutes (7.08 hrs) (p < 0.0001). The mean duration of motor block in group D and group C were 1082 ±80.47minutes (18.03 hrs) and 359.2 ± 55.45 minutes (5.98 hrs) respectively (p < 0.0001). Both these data were highly significant statistically. CONCLUSION: We conclude that addition of Dexamethasone to local anesthetic drugs in supraclavicular brachial plexus block significantly prolongs the duration of analgesia and duration of motor block in patients undergoing upper limb surgeries.
doi:10.14260/jemds/2014/2965 fatcat:upzbtoqxzndmtf2ghwzdvizr2y