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Comparing postoperative analgesic effect of dexmedetomidine or dexamethasone added to lidocaine through infraclavicular block in forearm surgery

Clinical Journal of Pain Aug 13, 2019

Yaghoobi S, et al. - The analgesic efficacy of dexamethasone vs dexmedetomidine added to lidocaine using infraclavicular block was determined in patients undergoing forearm fracture surgery. In this double-blinded, randomized clinical trial of 75 patients (aged 20 to 60 years), researchers performed ultrasound-guided infraclavicular brachial plexus block in 3 groups by injecting 28 mL lidocaine plus 2 mL distilled water (Lido), 28 mL lidocaine plus 2 mL (8 mg) dexamethasone (Dexa), and 28 mL lidocaine plus 2 mL (1 µg/kg) dexmedetomidine (Dexm). As per outcomes, the Dexa and Dexm groups showed no significant difference in postoperative pain intensity, although DEXm demonstrated a longer sensory block duration in comparison with dexamethasone as a lidocaine adjuvant in infraclavicular block.
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