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the aim of this double blinded randomized clinical trial was evaluation the efficacy of lidocaine- epinephrine or lidocaine -dexamethasone intrathecal on quality of sensory block in elective cesarean section.a total 90 ASA physical status I-II women undergoing elective cesarean section with spinal anesthesia were randomized to 3 groups.group 1:epinephrine ,group2:dexamethasone and group3:saline.The spinal anesthesia was done in sitting position using 25 gauge needle .epinephrine group recived 75mg lidocaine and 100microg ram epinephrine,
dexamethasone group recived 75mg lidocaine and 4mg dexamethasone and saline group recived 75mg lidocaine and 1ml normal saline.sensory onset time and duration of senory block compard among the groups.