Overview
Ultrasound guided wrist block comparing effect of bupivacane alone and bupivacane with dexamethasone and bupivacane with dexametmiodine and bupivacane with dexamethasone and dexametmiodine
Description
Ultrasound guided wrist block comparing effect of bupivacane alone and bupivacane with dexamethasone and bupivacane with dexametmiodine and bupivacane with dexametmiodine and dexamethasone.
Taking medical and surgical history from patients. Taking base line data as heart rate and blood pressure and spo2. Measure duration of analgesia for post operative pain using NRS for 24 hours abd recording NRS at time interval of 2 , 4,6,12,24 hours post operative.
Any patient the NRS above 4 will receive 5 mg nalbufin . Recording patients satisfaction by a survey .
Eligibility
Inclusion Criteria:
- Patients more than or equal 18 years old and are ASA 1-3
Exclusion Criteria:
- allergy to used medication
- pre exist neuropathy
- coagulapthy
- cognitive impairment
- refusal to participate
- Failed block and requiring general anesthesia