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Harsukh Educational Charitable Society International Journal of Community Health and Medical Research

Volume 4 Issue 3 July -Sep 2018

Original Articles

Dexamethassone With Bupivacaine For Spinal Anesthesia: A Comparative Study
Madan Lal Kapoor

Background: Peripheral nerve blocks enjoy great importance in anaesthesia practice. They can provide safe and effective anaesthesia with long-lasting analgesia. Various approaches have been described to block the brachial plexus. Infraclavicular approach represents a reliable and safe approach for the hand, forearm and the elbow surgeries. Different additives have been used as adjuvant with local anesthetics to achieve dense and prolonged block. Corticosteroids are believed to extend the duration of the nerve block. Aim of the study: To assess Dexamethassone with Bupivacaine for spinal anesthesia. Materials and methods: The present study was conducted in the Department of Anesthesia of the Medical institute. For the study, we selected 32 patients with American Society of Anesthesiologist (ASA) I-II for which abdominal surgical procedures were planned. Patients with history of long term steroid therapy, allergy to the anesthetic drugs, with uncontrolled hypertension and diabetes mellitus were excluded from the study. The time interval for surgery was about 40-60 minutes. A written informed consent was obtained from each patient preoperatively. Results: We included 36 patients for the study. Patients were randomly grouped into two groups, Group A and Group B. We observed that there was no statistically significant difference between demographic characteristics of the patients of both groups. The anesthesia onset time for Group A was 13.34 + 1.96 minutes as compared to 12.38 + 1.14 minutes for Group B. The sensory block time period for Group A was 130.21 + 10.73 minutes in comparison to Group B that was 98.15 + 9.58 minutes. Conclusion: Within the limitations of the study we conclude that dexamethasone with bupivacaine delays the sensory block in spinal anesthesia for abdominal surgeries and abatements opioid prerequisites in postoperative administration. Key Words: Procedures, Patients Anesthesia

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