Publications by authors named "Sidharth Sraban Routray"

Background And Aims: Paravertebral block (PVB) is an established method, indicated for postoperative analgesia after modified radical mastectomy (MRM). Although many additives to bupivacaine in PVB have been tried to prolong the analgesia in postoperative period, no additive has been found without any adverse effects. We have compared the duration of analgesia in PVB using adjuvants like dexmedetomidine and fentanyl with bupivacaine after MRM.

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Background: Many adjuvants have been used with local anesthetics to reduce the time of onset and prolong the duration of analgesia in brachial plexus blocks. However, few studies are there using verapamil as an adjuvant with levobupivacaine.

Aims: This study aims to study the effects of verapamil as adjuvant to levobupivacaine in supraclavicular block for upper extremity surgery.

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Background: Many studies are there using adjuvants such as clonidine and fentanyl with bupivacaine in the subarachnoid block for prolonging postoperative analgesia. However, literature is divided regarding the dosage and efficacy of both intrathecal adjuvants. Furthermore, these adjuvants have their own side effects.

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Article Synopsis
  • Dexamethasone (8 mg) added to levobupivacaine for supraclavicular brachial plexus block significantly enhances analgesic effects, extending both sensory and motor block durations.
  • In a study of 60 patients, those receiving dexamethasone experienced longer times before needing additional pain relief (>700 mins) compared to the control group receiving saline (~396 mins).
  • The findings suggest that combining dexamethasone with levobupivacaine improves pain management in surgical settings by reducing the need for rescue analgesics and speeding up the onset of the block.
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