iarjmsIARJMSIARJMS2708-3594https://doi.org/10.47310/iarjms.2022.v03i02.021Patients’ Satisfaction in Ultrasound Guided 4- in -1 Nerve Block With Bupivacaine in Combination with Dexmedetomidine in Two Doses for Knee and below Knee Orthopaedic Surgeries: A Prospective Randomized TrialIshaKhanUrvashiNautiyalNeetikshaMedical Officer Specialist at ESI ParwanooMedical Officer Specialist at SLBSGMC Ner Chowk MandiMedical Officer Specialist at Pt.JLNGMC ChambaBackground: The objective of the current study was to assess the patient satisfaction ratings for ultrasound-guided 4-in-1 nerve blocks using bupivacaine and dexmedetomidine in combination with two doses for knee and below-knee orthopaedic operations. Materials and Methods: A comparative study was carried out among patients planned to undergo knee and below knee surgeries under SAB. A total of 100 patients were randomly divided into 2 groups. Group A was given 29 mL of 0.125% bupivacaine with 0.5µg/kg dose of dexmedetomidine (1 mL) making it to a total 30 mL solution, in USG guided 4 in 1 block while Group B was given 29 mL of 0.125% bupivacaine with 1µg/kg dose of dexmedetomidine (1 mL) making it to a total 30 ml solution, in USG guided 4 in 1 block. Results: In this study, mean age of the participant was 40.64±11.44 years in Group A and 40.12±12.55 years in Group B ranging from 18 years to 60 years. Maximum participant in Group A (n = 18) aged between 41 and 50 years and in Group B (n = 17) were aged between 30 and 40 years. Only 10 participants aged below 30 in both the groups. The study population comprised of 36 males in Group A and 31 males in Group B and 14 females in Group A and 19 females in Group B. There was no significant difference of gender between both groups (p = 0.287). In this study, 18% of the patients were very satisfied in group B while only 4% were very satisfied in group A. Similarly, 68% of the patients were satisfied in group B while 66% were very satisfied in group A. In this study, only 14% of the patients were not satisfied in group B while 30% were not satisfied in group A. We found that the patients’ satisfaction was significantly better in group B in comparison to group A (p = 0.024). Conclusion: The study concluded that the patients’ satisfaction was significantly better in group B in comparison to group A.