Efficacy of dexamethasone as an adjuvant to bupivacaine in supraclavicular brachial plexus block

Introduction: Supraclavicular brachial plexus block provides the optimal operating conditions for upper arm surgery. The study was conducted to assess efficacy of dexamethasone as an adjuvant bupivacaine in supraclavicular block. Methods: An experimental performed Gandaki Medical College and Teaching hospital, Pokhara. Forty patients undergoing surgery elbow, forearm, hand under block, with 0.25% normal saline (n = 20) Group I versus II equal volume 30 ml each group. Randomization done onset sensory motor blockade duration analgesia compared both groups. Statistical package social sciences version 24.0 software used. Continuous variables like time first rescue were assessed student’s t-test chi-square test applied categorical visual analogue score score. Results: only group 504.10±70.24 seconds (255.65±75.28) seconds. bupivacaine-only 813.00±74.57 (524.25±80.38) Time 542.5±126.33 minutes (1245±325.66) minutes. difference statistically significant all findings (p<0.0001). Conclusions: concluded that addition prolongs faster blocks.