EPINEPHRINE AND DEXAMETHASONE AS ADJUVANS IN SUPRACLAVICULAR BLOCK IN PEDIATRIC PATIENTS: A CASE SERIES
Journal
Macedonian Journal of Anesthesia
Date Issued
2021-06
Author(s)
Mikjunovikj Derebanova Lj
Leshi A
Toleska M
Demjanski V
Abstract
Supraclavicular brachial plexus blocks are not common in pediatric patients due to the risk
of pneumothorax, but they are considered to be one of the most effective anesthetic procedures
for upper extremity surgeries. Ultrasound-guided approaches increase efficacy of blocks and may
reduce the risk of complications associated with injection of large volumes of local anesthetic.
Adjuvants are often used with local anesthetics for its synergistic effect by prolonging the duration
of sensory-motor block and limiting the cumulative dose requirement of local anesthetics. This
paper reports three cases of pediatric patients who received ultrasound-guided supraclavicular
brachial plexus block for upper limb surgery while applying different adjuvants (epinephrine
and dexamethasone).
of pneumothorax, but they are considered to be one of the most effective anesthetic procedures
for upper extremity surgeries. Ultrasound-guided approaches increase efficacy of blocks and may
reduce the risk of complications associated with injection of large volumes of local anesthetic.
Adjuvants are often used with local anesthetics for its synergistic effect by prolonging the duration
of sensory-motor block and limiting the cumulative dose requirement of local anesthetics. This
paper reports three cases of pediatric patients who received ultrasound-guided supraclavicular
brachial plexus block for upper limb surgery while applying different adjuvants (epinephrine
and dexamethasone).
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