Regional anesthesia

Duration of analgesia after supraclavicular brachial plexus block with intravenous dexamethasone with or without dexmedetomidine: a randomised, placebo-controlled, triple-blind trial

Br J AnaesthPublished Randomised controlled trial

Authors' conclusion

The combination of i.v. dexamethasone and dexmedetomidine does not provide superior analgesia than i.v. dexamethasone alone after supraclavicular brachial plexus block.

Study context

Population
Patients undergoing upper limb surgery with a supraclavicular brachial plexus blockrandomised
Participants
100 patients
Comparison
Dexa-Dexme vs Dexa
Primary endpoint
Duration of analgesia from block (mepivacaine 0.5% + ropivacaine 0.25%) to first oral opioid intake
Methodological detailstriple-blind, placebo-controlled
  • Triple-blind
  • Placebo-controlled

Primary result

As reported in the abstract

P = 0.47

Secondary outcomes

Sensory and motor block duration, pain scores at rest and on movement, cumulative oral morphine consumption at 48 h

No significant differences in the secondary outcomes

Original publication

Duration of analgesia after supraclavicular brachial plexus block with intravenous dexamethasone with or without dexmedetomidine: a randomised, placebo-controlled, triple-blind trial. Br J Anaesth. Published 1 December 2025. doi:10.1016/j.bja.2025.10.049

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