Comparative study between Ketamine and dexamethasone added to bupivacaine in ultrasound guided infra clavicular brachial plexus block for upper limb surgeries
Bakheet, A., Darweesh, E., Soliman, F., Hassan, A. (2017). Comparative study between Ketamine and dexamethasone added to bupivacaine in ultrasound guided infra clavicular brachial plexus block for upper limb surgeries. EKB Journal Management System, 21(2), 19-30. doi: 10.21608/smj.2017.34969
Ahmed Sayed Bakheet; Eman Ebrahim Darweesh; fouad Ebrahim Soliman; Ahmed Hamody Hassan. "Comparative study between Ketamine and dexamethasone added to bupivacaine in ultrasound guided infra clavicular brachial plexus block for upper limb surgeries". EKB Journal Management System, 21, 2, 2017, 19-30. doi: 10.21608/smj.2017.34969
Bakheet, A., Darweesh, E., Soliman, F., Hassan, A. (2017). 'Comparative study between Ketamine and dexamethasone added to bupivacaine in ultrasound guided infra clavicular brachial plexus block for upper limb surgeries', EKB Journal Management System, 21(2), pp. 19-30. doi: 10.21608/smj.2017.34969
Bakheet, A., Darweesh, E., Soliman, F., Hassan, A. Comparative study between Ketamine and dexamethasone added to bupivacaine in ultrasound guided infra clavicular brachial plexus block for upper limb surgeries. EKB Journal Management System, 2017; 21(2): 19-30. doi: 10.21608/smj.2017.34969

Comparative study between Ketamine and dexamethasone added to bupivacaine in ultrasound guided infra clavicular brachial plexus block for upper limb surgeries

Sohag Medical Journal
Article 3, Volume 21, Issue 2, July 2017, Page 19-30  XML PDF (155.83 K)
Document Type: Original Article
DOI: 10.21608/smj.2017.34969
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Authors
Ahmed Sayed Bakheet1; Eman Ebrahim Darweesh2; fouad Ebrahim Solimanorcid 3; Ahmed Hamody Hassan1
1Department of anesthesia and ICU, Sohag University, sohag, Egypt.
2Department of anesthesia and ICU,Sohag University, sohag,Egypt
3Department of anesthesia and ICU, SohagUniversity, sohag, Egypt
Abstract
the aim of this study is to compare between ketamine and dexamethasone when added to bupivacaine in ultrasound guided infraclavicular brachial plexus block for upper limb surgeries. Methods: The patients were randomly allocated to two groups, 25 patients each: Group K (ketamine group) Patient received 30 ml of 0.375% bupivacaine plus 0.5 mg/kg ketamine in 2 ml saline Group D (dexamethasone group) Patient received 30 ml of 0.375 bupivacaine plus 8 mg dexamethasone in 2 ml. Results: Onset time of sensory and motor blocks was significantly decreased in dexamethasone group in comparison with the ketamine group. The visual analogue scale was significantly lower in patients who received dexamethasone versus patients who received local anesthetics and ketamine. The duration of analgesia and resolution of motor block were significantly prolonged in dexamethasone group as compared to ketamine group. Postoperative analgesic consumption was reduced significantly in dexamethasone group as compared with ketamine group. Conclusion: The addition of dexamethasone to bupivacaine resulted in significant reduction in onset time of sensory and motor blocks, prolonged duration of post-operative analgesia, lower analgesic consumption and lower incidence of complications.
 
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