Key result
Dexamethasone added to ropivacaine in supraclavicular brachial block significantly prolonged the duration of sensory block (1011.7 vs 508.8 minutes) and motor block compared to ropivacaine alone.
Why the study?
Does adding dexamethasone to ropivacaine prolong sensory and motor block in patients undergoing elective upper limb surgery?
RCT (n=60)
Single-blind
Simple randomization method (computer-generated table of random numbers)
No
Does adding dexamethasone to ropivacaine prolong sensory and motor block in patients undergoing elective upper limb surgery?
Adding 8mg dexamethasone to ropivacaine in supraclavicular brachial block significantly prolongs sensory and motor block duration and reduces postoperative analgesic requirements.
Supports adding dexamethasone to ropivacaine for extended analgesia after upper limb surgery; confirms perineural steroid adjuvant efficacy in RCTs.
Background: Brachial plexus block is often used either as an adjuvant to general anesthesia (GA) or as a sole anesthesia modality. Supraclavicular brachial plexus block is preferred for its rapid onset, reliable anesthesia and as a safe technique for any surgery in the upper extremity that does not involve the shoulder. We have attempted to undertake this study to compare the haemodynamic, sensory and motor effects of the anaesthetic effect of Ropivacaine alone and Ropivacaine along with Dexamethasone in Supraclavicular Brachial Block in upper limb surgery.Methods: The total duration of surgery was also comparable in both groups. The onset of the sensory and the motor block in bother the groups were similar to each other with no statistical difference, but there was a very high significance in the duration of both sensory and motor block within both the groups.Results: The total duration of surgery was also comparable in both groups. The onset of the sensory and the motor block in bother the groups were similar to each other with no statistical difference, but there was a very high significance in the duration of both sensory and motor block within both the groups.Conclusions: Dexamethasone added to ropivacaine in supraclavicular brachial block for upper limb surgery significantly shortens the onset time and prolongs the duration of sensory and motor blocks without producing sedation in patients.
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Krishna et al. (2017) conducted an RCT in Elective upper limb surgery requiring supraclavicular brachial plexus block (n=60). Ropivacaine with Dexamethasone vs. Ropivacaine alone (28ml of 0.5% inj Ropivacaine + 2ml saline) was evaluated on Duration of sensory block (minutes) (p=<0.001). Dexamethasone added to ropivacaine in supraclavicular brachial block significantly prolonged the duration of sensory block (1011.7 vs 508.8 minutes) and motor block compared to ropivacaine alone.
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