Shoulder Pain Clinical Trial
Official title:
Intravenous Versus Perineural Dexamethasone in Interscalene Nerve Block With Levobupivacaine for Shoulder and Upper Arm Surgeries
Interscalene brachial plexus block can be used as an additive to general anaesthesia or as
the primary anaesthetic for shoulder surgeries for pain management.
The investigators compared the effect of perineural versus intravenous dexamethasone on the
prolongation of the action of levobupivacaine in ultrasound guided interscalene block for
shoulder and upper arm surgeries.
Dexamethasone had been shown to prolong the duration of postoperative analgesia when given as
an adjuvant for peripheral nerve blocks.
The investigators compared the effect of perineural versus intravenous dexamethasone on the
prolongation of the action of levobupivacaine in ultrasound guided interscalene block for
shoulder and upper arm surgeries.
The study hypothesized that adding perineural dexamethasone to levobupivacaine in ultrasound
guided interscalene block may be more superior to adding intravenous dexamethasone to
levobupivacaine and levobupivacaine alone in shoulder and upper arm surgeries as regard
analgesic effect, duration of analgesia and hemodynamic stability.
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