Brachial plexus block anesthesia

Bonica, John J.; Moore, Daniel C.; Орлов, М. Ю.

doi:10.1016/0002-9610(49)90186-5

Cited by 26 publications

(3 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Age is one of the determinants of sensory and motor block with peripheral nerve block. Brachial plexus block is suitable to patients of all age groups as shown by Bonica et al in their study on brachial block comprising patients of age ranging from 2.6 to 90 years [13]. However in our study, we included patients of age group 18 to 65 years.…”

Section: Discussionmentioning

confidence: 97%

Comparison of dexmedetomidine and clonidine as an adjuvant to levobupivacaine in supraclavicular brachial plexus block

Kataria¹,

Jarewal²,

Singh³

et al. 2017

Int J Med Res Rev

View full text Add to dashboard Cite

Introduction: There are always efforts to find better and safer local anaesthetics along with adjuvants for supraclavicular brachial plexus block. Levobupivacaine has strongly emerged as a safer alternative for regional anaesthesia than its racemic sibling bupivacaine. Alpha 2 agonists are combined with local anaesthetics to improve the quality of regional anaesthesia. Method: A prospective randomized study was carried out which included 60 adult patients between the ages of 18-65 years of ASA grade I and II who underwent upper limb orthopaedic surgeries. Group A received 30 ml of 0.5% levobupivacaine with 150µg of clonidine and Group B received admixture of 30 ml of 0.5% levobupivacaine with 100 µg of Dexmedetomidine. Onset, duration of sensory and motor blockade and duration of analgesia were observed. Results: Duration of postoperative analgesia in group A was 14.36±0.36 minutes and in group B was 16.90±2.29 minutes. Hence from the above observation, the duration of analgesia in group B is longer than group A which is statistically highly significant (p<0.001). Conclusion: Dexmedetomidine as an adjuvant 0.5% levobupivacaine is more effective in prolonging the duration of sensory and motor block and post operative analgesia compare to clonidine as an adjuvant to 0.5% levobupivacaine.

show abstract

Section: Discussionmentioning

confidence: 97%

Comparison of dexmedetomidine and clonidine as an adjuvant to levobupivacaine in supraclavicular brachial plexus block

Kataria¹,

Jarewal²,

Singh³

et al. 2017

Int J Med Res Rev

View full text Add to dashboard Cite

show abstract

“…It reduces surgical stress response and gives better postoperative analgesia and earlier discharge of patients. [5]…”

Section: Discussionmentioning

confidence: 99%

Comparative study of effectiveness of tramadol and butorphanol as adjuvants to levobupivacaine for supraclavicular brachial plexus block

et al. 2019

View full text Add to dashboard Cite

Background:Butorphanol and tramadol, the synthetic opioid analgesics, have been used alone or in combination with a local anesthetic in supraclavicular brachial plexus block.Aim:The aim of this study was to evaluate the sensory and motor block characteristics with the addition of tramadol (100 mg) and butorphanol (2 mg) to levobupivacaine for supraclavicular brachial plexus anesthesia.Settings and Design:This study was a prospective, randomized, double–blind, and comparative study.Materials and Methods:Patients were randomly allocated to three groups of 30 each. Group A received 0.5% levobupivacaine (25 mL) and saline in 5 mL, Group B received 0.5% levobupivacaine in 30 mL with 100 mg tramadol, and Group C received 0.5% levobupivacaine in 30 mL with 2 mg butorphanol. The duration of sensory block was evaluated as a primary outcome and other parameters as secondary outcomes.Statistical Tests:Statistical analyses were performed using Chi-square test for nonparametric data and analysis of variance for parametric data.Results:Onset time of sensory block was fast and comparable in both Group B and C as compared to Group A (P = 0.000). Group C had the longest duration of sensory block and duration of analgesia followed by Group B and Group A. Group C and Group B showed statistically longer duration of motor block as compared to Group A (P = 0.000). Hemodynamic derangements and adverse effects were comparable.Conclusion:Butorphanol (2 mg) as an adjuvant to levobupivacaine in supraclavicular block hastens the onset and prolongs the duration of the block as well as postoperative analgesia to a greater extent as compared to the addition of 100 mg tramadol.

show abstract

“…Consequently, typical features of this block include its rapid onset, predictability and density. 1 Long acting local anaesthetics have advantage of longer duration of block and prolonged postoperative analgesia to help reduce postoperative analgesic requirement. Ropivacaine, one of the newer long acting amide local anaesthetics, is the stereo isomer of bupivacaine and has been shown in to be less toxic than bupivacaine when injected intravenously.…”

Section: Introductionmentioning

confidence: 99%

Comparison of clonidine and dexmedetomidine as adjuvants for ropivacaine in supraclavicular brachial plexus block

Nazir¹,

Bhat²,

Sharma³

et al. 2019

Sri Lankan J Anaesthesiol

View full text Add to dashboard Cite

Background: Addition of adjuvants to local anaesthetic in supraclavicular brachial plexus block helps in improving duration of block and analgesia. We compare clonidine and dexmedetomidine as adjuvants to ropivacaine in supraclavicular brachial plexus block.Method: A total of 75 patients aged from 20 to 60 years belonging to ASA I-II scheduled for upper limb surgery were included and divided into three groups-Group I received 0.5% ropivacaine plus normal saline, Group II received 0.5% ropivacaine plus clonidine and Group III received 0.5% ropivacaine plus dexmedetomidine. The patients were compared for onset as well as duration of sensory and motor blockade, duration of analgesia and haemodynamic side effects. Results:The mean duration of sensory and motor block as well as analgesia was found to be more (statistically highly significant p<0.001) in group III (dexmedetomidine group) having a much longer duration of sensory and motor block as well as analgesia compared to group I (plain ropivacaine) and group II (clonidine group). Conclusion:Therefore, in present study it was found that addition of clonidine and dexmedetomidine to 0.5% ropivacaine are effective in supraclavicular brachial plexus block. However, dexmedetomidine is a better alternative to clonidine as adjuvant for 0.5% ropivacaine in to obtain early onset and prolong the duration of sensory and motor block and postoperative analgesia.

show abstract

Brachial plexus block anesthesia

Cited by 26 publications

References 21 publications

Comparison of dexmedetomidine and clonidine as an adjuvant to levobupivacaine in supraclavicular brachial plexus block

Comparison of dexmedetomidine and clonidine as an adjuvant to levobupivacaine in supraclavicular brachial plexus block

Comparative study of effectiveness of tramadol and butorphanol as adjuvants to levobupivacaine for supraclavicular brachial plexus block

Comparison of clonidine and dexmedetomidine as adjuvants for ropivacaine in supraclavicular brachial plexus block

Contact Info

Product

Resources

About