Comparative study between tramadol and dexamethasone as an adjuvant to bupivacaine in supraclavicular brachial plexus block

: Brachial plexus block is widely used as an efficient and cost effective alternative to general anesthesia for upper limb surgeries. A variety of adjuvants local anesthetics have been compared, however, drugs which prolong the duration anaesthesia analgesia are being constantly studied patient satisfaction effectiveness. Prospective, Interventional, Randomised study was conducted over 105 patients scheduled elective surgeries under brachial block, who were randomly allocated into three groups 35 each. Group I- Bupivacaine with Tramadol, II- Dexamethasone III- alone. The time onset sensory motor noted. Hemodynamic variables measured from baseline until use first rescue analgesic. statistical analysis done using SPSS (Statistical Package Social Sciences) version 15.0 software. Onset blockade significantly earlier in II (9±1.83 min) (14.14±3.53min) compared I (11.94 ±2.59min) (22.86±3.70min) III(19±5.26min) (27.14±4.07min). requirement analgesic III (211.43±23.25 followed by (397±20.15 last (632.43±23.15 min). provided early maximum requiring at a much later period Tramadol alone when supraclavicular block.