The Effects of Dexamethasone and Ibuprofen on Postoperative Analgesia in Patients Undergoing Hand and Forearm Surgery With Axillary Brachial Plexus Block

Inclusion Criteria: * Patient's consent to participate in the study (Informed consent) * Aged between 18 and 65 years * ASA physical status I or II * Being oriented and cooperative * Scheduled to undergo hand or forearm surgery * Body Mass Index (BMI) below 40 kg/m² * Scheduled for axillary brachial plexus blockade Exclusion Criteria: * Patient's refusal to participate in the study * Refusal of regional anesthesia * Known allergy to local anesthetics * Known allergy to ibuprofen * Known allergy to dexamethasone * Presence of coagulopathy * Local infection at the site of regional anesthesia application * Presence of malignancy at the surgical site * Diagnosis of diabetes mellitus * Body Mass Index (BMI) of 40 kg/m² or above * Duration of surgery exceeding 4 hours * Administration of opioid medication during the preoperative or intraoperative period