Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 9 2 2023 04 15 102 106 Amartya Chaudhuri Department of Anaesthesiology, Byramjee Jeejeebhoy Govt. Medical College, Pune, India. Shital Kuttarmare Department of Anaesthesiology, Byramjee Jeejeebhoy Govt. Medical College, Pune, India. Pradnya Bhalerao Department of Anaesthesiology, Byramjee Jeejeebhoy Govt. Medical College, Pune, India. Neha Kamble Department of Anaesthesiology, Byramjee Jeejeebhoy Govt. Medical College, Pune, India. 2022 05 17 2022 06 11 Background: Brachial plexus surgery requires neural repair with the use of intraoperative peripheral nerve stimulation without muscle relaxants. Methods: Twelve cases were conducted under total intravenous anaesthesia, receiving intravenous propofol, fentanyl and dexmedetomidine infusion. Intraoperative hemodynamic conditions and postoperative functional recovery were assessed. Results: 9 out of 12 cases were stable while one was in a lighter plane requiring 20 mg propofol and increased dexmedetomidine, two had bradycardia requiring reduced dexmedetomidine infusion. At three months, five cases showed improvement. Conclusion: Satisfactory conditions were achieved including hemodynamic stability, and muscle-sparing improving prognoses of brachial plexus surgeries. https://aacc.tums.ac.ir/index.php/aacc/article/view/547