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ORIGINAL ARTICLE
Year : 2015  |  Volume : 2  |  Issue : 4  |  Page : 116-120

The addition of magnesium sulfate or dexamethasone to levobupivacaine for ultrasound-guided supraclavicular brachial plexus block for upper-limb surgery: a double-blinded comparative study


Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, University of Alexandria, Alexandria, Egypt

Correspondence Address:
Adel A.N. Mahgoub
Assistant Professor of Anesthesia and Surgical Intensive Care, Faculty of Medicine, University of Alexandria, Alexandria, 88206
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2356-9115.178904

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Background Levobupivacaine (chirocaine) is a long-acting amide local anesthetic that can be used in different applications like epidural, spinal, peripheral nerve, ocular block, topical application, and local infiltration. Clinical effects are comparable to those of bupivacaine or ropivacaine. Studies are needed on different adjuvants with levobupivacaine, such as dexamethasone and magnesium sulfate. Aim of this study The aim of the study was to compare the effect of adding either magnesium sulfate or dexamethasone to levobupivacaine in supraclavicular brachial plexus block. Materials and methods Sixty adult patients presented for upper-limb surgery under supraclavicular brachial plexus block using ultrasound. The patients were randomly arranged into two equal groups: magnesium sulfate was added to levobupivacaine in one group and dexamethasone was added in the other group. Duration of postoperative analgesia was recorded. Results There was no statistically significant difference in the duration of postoperative analgesia between the two groups. Conclusion There is no preferential difference in postoperative analgesia between dexamethasone and magnesium sulfate when added to levobupivacaine


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