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To compare the analgesic properties of ultrasound guided supraclavicular block using ropivacaine 0.5% in arteriovenous fistula creation when used in combination with intravenous administered dexamethasone at 4mg and 8 mg as an adjuvant
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GROUP DF | Active Comparator | supraclavicular block with 20mls of Ropivacaine 0.5% and Intravenous dexamethasone 4mg |
|
| GROUP DE | Active Comparator | supraclavicular block with 20mls of Ropivacaine 0.5% and Intravenous dexamethasone 8mg |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| supraclavicular block with 20mls of Ropivacaine 0.5% and Intravenous administered dexamethasone | Drug | Comparing the onset of sensory, motor block, duration of motor block and analgesic duration |
| Measure | Description | Time Frame |
|---|---|---|
| To compare the difference of onset time between sensory and motor block of supraclavicular block between ropivacaine with IV dexamethasone 4mg and ropivacaine with IV dexamethasone 8mg | 2 days | |
| To compare the difference in duration of analgesia between supraclavicular block with ropivacaine and IV dexamethasone 4mg with ropivacaine and IV dexamethasone 8mg | 2 days |
| Measure | Description | Time Frame |
|---|---|---|
| To compare the duration difference of the return of motor block between supraclavicular block using ropivacaine with IV dexamethasone 4mg and ropivacaine with IV dexamethasone 8mg | 2 days |
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Inclusion Criteria:
Adult, age 18 to 65 years End stage renal disease patients for AV fistula creation
Exclusion Criteria:
Not suitable candidate as determined by the primary team Refusal for brachial plexus block History of allergy to dexamethasone or local anesthesia Pregnancy History of previous brachial plexus injury Coagulopathy Local skin site infection Known neuropathy involving the arm undergoing surgery Patients with glucose reading more then 12mmol/
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| ID | Term |
|---|---|
| D051436 | Renal Insufficiency, Chronic |
| ID | Term |
|---|---|
| D051437 | Renal Insufficiency |
| D007674 | Kidney Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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