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Date Published: 07/03/2023
Abstract Views: 523
Views PDF: 158
DOI: https://doi.org/10.51298/vmj.v523i2.4574
Issue
Vol. 523 No. 2 (2023)
Section
Các bài báo
How to Cite
Nguyễn, V. T. ., Nguyễn, C. T. ., Đặng , Q. D. ., & Hoàng, V. M. . (2023). ANESTHESIA EFFICIENCY WHEN ADDING DEXAMETHASONE TO LEVOBUPIVACAIN IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK FOR UPER LIMB SURGERY. Vietnam Medical Journal, 523(2). https://doi.org/10.51298/vmj.v523i2.4574

ANESTHESIA EFFICIENCY WHEN ADDING DEXAMETHASONE TO LEVOBUPIVACAIN IN SUPRACLAVICULAR BRACHIAL PLEXUS BLOCK FOR UPER LIMB SURGERY

Văn Toàn Nguyễn1,, Công Thành Nguyễn2, Quang Dũng Đặng 2, Văn Mạnh Hoàng3
1 Thai Nguyen University Of Medicine And Pharmacy
2 Thai Nguyen hospital
3 Thai nguyen hospital

Main Article Content

Abstract

Objectives: To compare the effects of sensory block, motor block, anesthesia and postoperative analgesia for upper limb surgery when adding 8mg dexamethasone to 0.5% levobupvacaine and 5mcg/ml adrenaline with do not add dexamethasone in supraclavicular brachial plexus anesthesia. Methods: A descriptive, prospective, randomized, controlled study on 60 patients undergoing planned upper limb surgery at Thai Nguyen Central Hospital from January 2022 to September 2022. Results: The rate of good anesthesia quality in LA and LAD groups was 90% and 93.33%, respectively. There are no cases of poor insensitivity quality. The difference between the 2 groups was not statistically significant. The time of onset sensory and motor block in the LAD group (5.33 ± 1.42 minutes and 8.40 ± 2.04 minutes, respectively) significantly lower than LA group (7.20 ± 1.56 minutes and 10.23 ± 2.23 minutes, respectively). The duration of sensory and motor block, time for the first rescue analgesia in the LAD group (1132.20 ± 224.84 minutes, 995.37 ± 227.03 minutes and 1107.37 ± 219.09  minutes, respectively) significantly longer than the LA group (871.50 ± 154.37 minutes, 733.93 ± 161.83 minutes and 842.37 ± 159.02 minutes, respectively). Conclusions: The addition of dexamethasone to levobupivacaine in supraclavicular plexus anesthesia has been shown to reduce the onset time, prolong the duration of sensory and motor block, and prolong postoperative analgesia. It also gives good anesthesia results in upper extremity surgery.

Article Details

Keywords

brachial plexus block, levobupivacaine, dexamethasone, postoperative analgesia

References

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