Background: Upper limb surgeries are very common surgeries. Axillary route of Brachial plexus block is mostly used regional anaesthesia technique worldwide. Usage of Ultrasound makes technique more precise& scientific so that less amount of drug can be given at target nerve in real time to get proper nerve block.
Aim & objective: Aim is to compare Bupivacaine & Bupivacaine with Dexamethasone for axillary block. Primary objective is to compare Bupivacaine& Bupivacaine with dexamethsone in terms of onset of sensory & motor block, Duration of sensory & motor block, Duration of analgesia& secondary objectives are complications & haemodynamic stability.
Methods: After institutional approval and informed consent, a comparative study of 60 patients (ASA Grade I/II) scheduled for various surgeries on hand, forearm and arm, under USG axillary brachial plexus block was carried out. All 60 patients were divided in 2 Groups. Group A received Inj. Bupivacaine 0.5% - 2.5mg/kg (20ml) and2 ml Normal saline. Group B received Inj. Bupivacaine 0.5% - 2.5mg/kg (20ml) and 2 ml of Dexamethasone 8 mg in axillary brachial plexus block. The onset and duration of sensory and motor blockade was compared Intraoperative and postoperative hemodynamic monitoring was done and notified in tabular form. Patients were watched for adverse effects of drugs and complications of procedure itself. The duration of postoperative analgesia was compared between the 2 groups using visual analogue scale and in terms of first rescue analgesic requirement with inj. diclofenac sodium 75 mg.
Statistical analysis: The data were studied using mean values and mean ± SD and then compared using unpaired‘t’ test.p value of