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418464

Evaluation of the Effects of Dexamethasone and Dexme-detomidine as Adjuvants to Bupivacaine in Supraclavicular Brachial Plexus Block in Upper Limb Surgeries

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Last updated: 29 Mar 2025

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Clinical Research (Surgical)

Abstract

Background:Supraclavicular nerve block is good alternative to general anesthesia for upper limb surgeries. Aim: This study aimed to compare the efficacy of bupivacaine plus dexamethasone versus bupivacaine plus dexmedetomidine as adjuvants on supraclavicular brachial plexus block characteristics including onset and duration of sensory and motor blockade, duration of postoperative analgesia and sedation score. Patients and Methods:This prospective, randomized, single-blind study was carried out on 44 patients with American Society of Anesthesiologists (ASA) grades I, II, III and IV, aged 18 to 60 years, of both sex, BMI less than 36 Kg/M2 and who scheduled for upper limb orthopedic surgeries, vascular surgeries and plastic surgeries. Patients were divided into two groups: Group I: 20 ml bupivacaine 0.5%+4mg dexamethasone. Group II: 20 ml bupivacaine 0.5%+ dexmedetomidine 1 μg/kg. Results: Data was collected via a data collection sheet. In both groups the adjuvants prolonged duration of analgesia postoperative; however, dexamethasone decreased post operative opioids consumption up to 36 hours. Conclusion: Regarding comparison between dexmedetomidine and dexamethasone as an adjuvant to bupivacaine in ultrasound guided supraclavicular block, it could be concluded that the addition of dexamethasone to bupivacaine prolong the time of block and analgesia duration longer than dexmedetomidine.Both dexmedetomidine and dexamethasone have individually been shown to be beneficial as an adjuvant to bupivacaine

DOI

10.21608/scumj.2024.418464

Keywords

supraclavicular block, dexamethasone, Dexmedetomidine

Authors

First Name

Enas

Last Name

Ali

MiddleName

Ahmad

Affiliation

Anesthesia and Intensive Care Department, Faculty of Medicine, Suez Canal University, Egypt

Email

amanymandour2005@gmail.com

City

Ismailia

Orcid

-

First Name

Mohamed

Last Name

Abdelgawad

MiddleName

Ibrahim

Affiliation

Anesthesia and Intensive Care Department, Faculty of Medicine, Suez Canal University, Egypt

Email

mohamedabdelgawad@med.suez.edu.eg

City

-

Orcid

-

First Name

Medhat

Last Name

Shaker

MiddleName

Lamei

Affiliation

Anesthesia and Intensive Care Department, Faculty of Medicine, Suez Canal University, Egypt

Email

medhatlamei8@gmail.com

City

-

Orcid

-

First Name

Reda

Last Name

Ismail

MiddleName

Aboelmagd

Affiliation

Anesthesia and Intensive Care Department, Faculty of Medicine, Suez Canal University, Egypt

Email

dr.rowda@yahoo.com

City

-

Orcid

-

Volume

27

Article Issue

10

Related Issue

52242

Issue Date

2024-10-01

Publish Date

2024-10-01

Page Start

8

Page End

16

Print ISSN

1110-6999

Online ISSN

2090-2581

Article File

SCUMJ_Volume 27_Issue 10_Pages 8-16.pdf

PDF . 403.6kB

Link

https://scumj.journals.ekb.eg/article_418464.html

Detail API

http://journals.ekb.eg?_action=service&article_code=418464

Order

2

Type

Original Article

Type Code

938

Publication Type

Journal

Publication Title

Suez Canal University Medical Journal

Publication Link

https://scumj.journals.ekb.eg/

MainTitle

Evaluation of the Effects of Dexamethasone and Dexme-detomidine as Adjuvants to Bupivacaine in Supraclavicular Brachial Plexus Block in Upper Limb Surgeries

Details

Type

Article

Created At

29 Mar 2025