To determine the effect of tramadol and dexamethasone added as an adjuvants to local anesthetic agents in Supraclavicular Brachial plexus block

This is a prospective randomized controlled study to determine the post operative analgesia following supraclavicular brachial plexus block with tramadol or dexamethasone as an adjuvant to bupivacaine and lignocaine in upper extremity elective orthopedic surgery.60 patients of ASA I and II undergoing upper extremity surgery under brachial plexus block with local anesthetic agents were randomly divided into three groups with 20 patients in each groups. One group received Tramadol (2mgkg) maximum 100 mg, second group received dexamethasone (8mg) and controlled group received 2 ml normal saline as an adjuvants to lignocaine and bupivacaine. The duration of postoperative analgesia was recorded in three groups with pain Visual Analog score. Which was determined by maximum VAS score of 8-10.The mean duration of postoperative analgesia in the control group 396.12 minutes, Tramadol group 453.21 minutes and in the dexamethasone group it was 1028.34 minutes.Conclude Dexamethasone with local anesthetics prolongs postoperative analgesia significantly than tramadol (P0.05) when used as an adjuvants to local anesthetic agent in supraclavicular Brachial plexus block for upper extremity surgery.