Comparison Between Dexamethasone and Dexmedetomidine in Spinal Anesthesia for Cases With Fracture Pelvis Fixation

Comparison Between Dexamethasone and Dexmedetomidine as Adjuvant to Bupivacaine in Spinal Anesthesia for Cases With Fracture Pelvis Fixation Comparative Randomized Study

The aim of this study is to compare dexamethasone and dexmedetomidine as adjuvant to bupivacaine in fracture pelvis fixation as regard duration of sensory block and postoperative pain management.

Place of the study:

Sohag University Hospitals after approval from the institutional ethical committee.

Study Design:

This prospective comparative study will be conducted on patients with fracture pelvis at the Department of Anesthesia, Intensive Care, and Pain Management,in Sohag University Hospitals after approval of the Research Ethical Committee.

Study period:

From February 2026 to August 2026.

Inclusion Criteria:

• Age from 20 to 80 years.
• Both sexes.
• Patients will be classified as American Society of Anesthesiologists (ASA) class I - II.
• Patient scheduled for surgical fixation of pelvic fracture.

Exclusion Criteria:

• Patients with drug addiction, and sepsis.
• Infection at the injection site.
• Sensitivity to local anesthetics.
• Coagulopathy.
• Kidney failure, liver failure.
• History of previous paresis in the operation area.