COMPARISON ANALYSIS OF DEXAMETHASONE AND TRAMADOL AS ADJUVANT TO LEVOBUPIVACAINE IN SUPRACLAVICULAR BLOCK
Background: The supraclavicular approach of the brachial plexus has a high success rate including blockade of the ulnar and musculocutaneous nerve, which are often missed during interscalene and axillary approach. The present study evaluated and compared dexamethasone and tramadol as adjuvant to levobupivacaine in supraclavicular block.
Materials & Methods: The present study was conducted on 50 patients of American Society of Anaesthesiologists (ASA) grade I and II of age group 18 - 60 years of either sex. Patients were divided into 2 group of 25 each. Group I in which 30 ml of 0.5% levobupivacaine hydrochloride plus 2 ml tramadol (100mg) was used. Group II in which 30 ml of 0.5% Levobupivacaine hydrochloride plus 2 ml dexamethasone (8 mg) was used. A through clinical examination was performed. Sensory and motor block was assessed.
Results: Duration of sensory block in group I was 12.81hours and in group II was 15.34 hours, motor block was 14.24 hours in group I and 17.51 hours in group II. Duration of surgery was 114.2 hours in group I and 110.5 hours in group II. Duration of analgesia was 17.12 hours in group I and 19.16 hours in group II. The difference was significant (P< 0.05).
Conclusion: Authors found that dexamethasone is a better adjuvant than tramadol when added to levobupivacaine in supraclavicular brachial plexus block.
Key words: Dexamethasone, Tramadol, Levobupivacaine