Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
The benefits of Regional Analgesia are likely most influential when it is initiated as early as possible in Acute Trauma Patients on Arrival and the performance of regional nerve blocks both in the emergency room has been shown to provide quality pain relief with an excellent safety profiles. Present study was aimed to compare analgesic effects between plain bupivacaine and bupivacaine with dexamethasone in fascia iliaca compartment block in acute trauma patients on arrival. Material and Present study was single‐center, prospective, comparative study conducted in patients of either sex, of all ages, ASA grade 1/2/3/4, with acute trauma. Patients were randomly divided into two groups as Group A (Bupivacaine plus Dexamethasone) and Group B (Plain Bupivacaine). All patients received Fascia Iliaca Compartment Block under USG. Significant difference was seen in VAS score at 5 min, at 6 hrs, at 8 hrs between group A and B. (p<.05) Proportion of patients who required first rescue analgesia (hrs) at 12 hrs, at 16 hrs was significantly higher in group A as compared to group B. Mean duration of analgesia (hrs) in group A was 12.33±2.78 which was significantly higher as compared to group B (8.67±2.37). (p<0001). Mean duration of onset of analgesia(minutes) in group B was 21.5±14.39 which was significantly higher as compared to group A (13.33±11.99). (p = 0.02). Mean total dose of rescue analgesia required(mg) in group B was 1500±131.31 which was significantly higher as compared to group A (1033.33±126.85). (p<.0001) Addition of dexamethasone to Bupivacaine in fascia iliaca compartment block results in early, prolonged and safe analgesia with decreased consumption of opioids and overall patient satisfaction in management of acute trauma patients.
How to cite this article:
Ashutosh Vijaykumar Kulkarni. Comparative Study of Analgesic Effects Between Plain Bupivacaine and Bupivacaine with
Dexamethasone in Fascia iliaca Compartment Block in Acute Trauma Patients.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.12.361.367
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.12.361.367