EPINEPHRINE AND DEXAMETHASONE AS ADJUVANS IN SUPRACLAVICULAR BLOCK IN PEDIATRIC PATIENTS: A CASE SERIES

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).