English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

and Aim: Supraclavicular brachial plexus block is the most suitable mode of anaesthesiafor various upper limb surgeries. Dexmedetomidine added to local anaesthetics shortens the onset timeand prolongs the duration of block and post-operative analgesia in the brachial plexus block. However,there remains limited knowledge of its analgesic efficacy and duration in peripheral nerve and nerve plexusblockade.Materials and Methods: This prospective randomized double-blinded study was conducted with 60patients of ASA physical status class I/II, scheduled for elective unilateral upper limb surgery. Patientswere randomized into 2 groups of 30 each. All patients in Group L received a brachial plexus block with29 ml of 0.5% levobupivacaine + 1ml of normal saline. Group LD received 29 ml of 0.5% levobupivacaine+ 1ml of dexmedetomidine 1ml(100mcg). The primary objectives were the onset and duration of sensoryand motor block.Results: The onset of sensory and motor block was earlier in Group L (12.4 3.1 min and 20.5 3.8 min)than Group LD (15.9 2.7 min and 22.1 3.2 min), (P = 0.0000 and 0.0801). The duration of sensory andmotor block was longer in Group LD (1198.0 48.5 min and 1178.3 41.4 min) than Group L (710.387.3 min and 688.7 86.6 min), (P =0.0000). The duration of analgesia was longer in Group LD (1222.049.2 min) than Group L (726.3 91.1 min), (P Conclusion: Dexmedetomidine added with levobupivacaine prolongs the duration of sensory as well asmotor block in brachial plexus block using the supraclavicular technique with haemodynamic stability.Keywords: Brachial plexus block, Dexmedetomidine, Levobupivacaine, Supraclavicular.

indian journal of clinical anaesthesia

Comparison of levobupivacaine alone and levobupivacaine with dexmedetomidine in supraclavicular brachial plexus block: A prospective randomized clinical trial