The aim of this study was to investigate the effect of dexmedetomidine and dexamethasone added during USG-guided infraclavicular block on block onset time, total block time and time to first analgesic need in patients undergoing upper extremity surgery.
18-70 years
ASA I-II
Under 18 years of age and older than 70 years of age,
presence of brachial plexus injury,
patients with bleeding diathesis,
presence of allergy, -contralateral diaphragmatic paralysis, -
A total of 44 adult patients 18 to 70 years, American Society of Anesthesiologists (ASA) I-II who underwent upper extremity surgery were included in Orthopedics and Traumatology Clinic.
Case-control
Prospective
Infraclavicular Block with Dexmedetomidine and Dexamethasone
Procedure/SurgeryInfraclavicular block with Dexmedetomidine and Dexamethasone was performed at least 30 min before the start of the operation. The patient was positioned in a supine position arms at the sides or in 90 degree abduction, head turned to the other side. Infraclavicular block was performed with the lateral sagittal technique, while the USG probe was placed under the clavicle and medial to the coracoid process, providing a brachial plexus image in the form of a hyperechoic outer ring and hypoechoic circles, like a classic honeycomb image. A local anesthetic mixture was injected with a 100 mm block needle with negative aspiration and its spread in tissue planes was observed. If the VAS score was 3 or above, tramadol 1 mg kg-1 was administered as an analgesic drug.
infraclavicular block onset time
Sensory block / motor block onset time
postoperative analgesic drug requirement
opioid total amount micrograms
infraclavicular total block time
block time hours
investigate the effects on VAS score and sedation level in the first 24 hours postoperatively
VAS score
advers event Perioperative and postoperative period
Nausea,Vomiting,Hypotension,Bradycardia, Nerve damage
Click on the lead sponsor to view all of their trials.
