Journal of Cardiovascular Disease Research
Randomized control trial of comparison between low dose sodium bicarbonate and dexamethasone as an adjuvant to 0.75% ropivacaine in USG guided brachial plexus block and its peri op hemodynamic and analgesic effects
Dr.Fahad khan MD , Dr. Jainab Parween MD
JCDR. 2023: 1523-1529
Abstract
Background: Peripheral nerve blocks have taken over as the principal technique for upper limb surgeries. A number of adjuvants have been tried individually, but very few studies have investigated the cumulative effect of two or more adjuvants given together along with local anesthetic. Material and Methods: Fifty ASA status I-II patients with elective shoulder arthroscopic surgeries under interscalene brachial plexus blocks were allocated randomly to receive; Group I– 0.75% ropivacaine (20 mL) plus 8 mg of dexamethasone. Group II –0.75% ropivacaine (20 mL) plus 2 mL of sodium bicarbonate. A nerve stimulation technique with ultrasound was used in all patients
» PDF