Volume 6 Issue 8 (August, 2018)

Original Articles

Dexamethasone as an Adjunct to Epidural Block- Comparative Study
Raju Jharbade, Sunita B. Wadekar, Sunita Dhupia, Neil Alwani, Santosh Pancholi

Background: Pain control is of major concern when operating. In todayís age there has been a paradigm shift from general anaesthesia to regional anaesthesia. Caudal block is the most consistent technique used for regional analgesia among paediatric subjects. The aim of the present study was to compare the effect of caudal versus intravenous dexamethasone as an adjuvant to epidural block. Materials and Methods: This prospective study was conducted in the Department of anaesthesia for a period of 1 year. The study included 90 subjects belonging to ASA grade I and grade II category The required monitors were attached to the patient on entering the operation theatre and the baseline BP, MAP, heart rate and oxygen saturation was recorded. A 22 gauge cannula was used to secure intravenous line and ringerís lactate was initiated at 4ml/ kg/hr. All the data was arranged in a tabulated form and analysed using SPSS software. Chi square test was used to perform the statistical analysis and probability value of less than 0.05 was considered as significant. Results: A total of 90 patients took part in the study with 30 patients in each group. The mean duration of surgery in the groups was 38.52 +/-9.63, 32.77 +/- 12.1 and 40.21 +/-10.12 minutes respectively in the three groups. The difference was significant between the groups. Clear fluids were initiated comparatively early in Group II (5.2 +/-0.4 hours) compared to Group III and Group I. Conclusion: From the present study we that dexamethasone is a useful assistant to ropivacaine in providing caudal block for an efficient and effective analgesia without any undue side effects Key words: Caudally, Dexamethasone, epidural, intravenous

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