Supraklavicüler Brakial Pleksus Sonrası Analjezinin Uzatılmasında İntavenöz Dekzametazonun Etkisi: Randomize Kontrollü Çalışma

Amaç: Brakiyal pleksus bloğunun sağladığı analjezi süresi, eşzamanlı intravenöz deksametazon uygulamasıyla uzatılabilir. Yöntem: Üst ekstremite ameliyatı geçiren 30 mL %0.5 ropivakain ile supraklavikular brakiyal pleksus bloğu (SBPB) uygulanan 30 yetişkin hasta, bloktan hemen önce intravenöz olarak 10 mg deksametazon (Grup RD) veya normal salin (Grup R) almak için rastgele ayrıldı. Primer sonuç analjezi süresiydi. Sekonder sonuçlar arasında duyusal ve motor blok süresi, ağrı skorları, taburcu edilmeye hazır olma zamanı, uyku kalitesi, hasta memnuniyeti ve postoperatif analjezik gereksinimi vardı. Bulgular: Demografik veriler her iki grupta benzerdi. Grup RD’de ortalama analjezi süresi 19.00±3.07 saat, Grup R’de 9.47±1.82 saat idi (p

The Effect of Intravenous Dexamethasone on Prolonging Analgesia After Supraclavicular Brachial Plexus Block: A Randomised Controlled Study

Objective: Duration of analgesia provided by brachial plexus block can be prolonged by simultaneous administration of intravenous dexamethasone.Methods: Thirty adult patients undergoing upper limb surgery receiving supraclavicular brachialplexus block (SBPB) with 30 mL 0.5% ropivacaine were randomly allocated to receive 10 mg dexamethasone (Group RD) or normal saline (Group R) intravenously just before the block. The primary outcome was duration of analgesia. Secondary outcomes included duration of sensory andmotor block, pain scores, time to readiness to discharge, quality of sleep, patient satisfaction andpostoperative analgesic requirement.Results: Demographic data was comparable in both groups. The mean duration of analgesia was19.00±3.07 hrs in Group RD as compared to 9.47±1.82 hrs in Group R (p

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