ROLE OF DEXAMETHASONE IN BRACHIAL PLEXUS BLOCK

Brachial Plexus Block

Abstract

Objective: To evaluate the effect of dexamethasone added to (lignocaine) on the onset and duration of axillary brachial plexus block.

Study Design: Randomized controlled trial.

Place and Duration of Study: Combined Military Hospital Rawalpindi, from September 2009 to March 2010.

Patients and Methods: A total of 100 patients, who were scheduled for elective hand and forearm surgery under axillary brachial plexus block, were randomly allocated to group A in which patients received 40 ml 1.5% lidocaine with 2 ml of isotonic saline (0.9%) and group B in which patients received 40 ml 1.5% lidocaine with 2 ml of dexamethasone (8 mg). Nerve stimulator with insulated needle for multiple stimulations technique was used to locate the brachial plexus nerves. After the injection onset of action and duration of sensory blockade of brachial plexus were recorded at 5 minutes and 15 minutes interval.

Results:  Group A showed the onset of action of 21.64 ± 2.30 min and in group B it was 15.42 ± 1.44 min (p< 0.001). Duration of nerve block was 115.08 ± 10.92 min in group A and 265.42 ± 16.56 min in group B (p < 0.001). 

Conclusion:  The addition of dexamethasone to 1.5% lignocaine solution in axillary brachial plexus block prolongs the duration of sensory blockade significantly.