This article has been cited by other articles in PMC. Perineural administration of dexmedetomidine in combination with bupivacaine enhances sensory and motor blockade in sciatic nerve block without inducing neurotoxicity in rat. Brachial plexus block is used in surgical procedures of the upper limbs. In Group A, supraclavicular block was given with 0. Supraclavicular block of the brachial plexus was long regarded as the quintessential skill of the regional anaesthetist: Results The onset of complete sensory and motor block observed with both ropivacaine groups and bupivacaine was similar A randomised, triple-blind, controlled study in volunteers.
Intravenous access was established with 18 gauge cannula and the slow infusion of crystalloid was started. The incidence of bradycardia and sedation was observed in significantly more patients in group LD Venkatesh , 1 Prabhat Kumar , 2 Ramachandran R. Materials and Methods Ninety patients of age 18 to 60 years belonging to American Society of Anaesthesiologists ASA status 1 or 2, admitted to Pondicherry Institute of Medical Sciences were chosen for the study and were divided into three groups. Various local anaesthetic agents and adjuvants are used for this purpose. Indian J Anaesth ;
Supraclavicular block is preferred procedure for hand and fore-arm surgeries, as it is safe, has rapid onset and gives reliable anaesthesia. Dexmedetomidine prolongs the effect of bupivacaine in supraclavicular brachial plexus block. A prospective, double-blinded and randomized controlled study. Ultrasound-guided single injection infraclavicular brachial plexus block using bupivacaine alone or combined with dexmedetomidine for pain control in upper limb surgery: No adverse effects were noted in either groups.
Multiple comparison test with Bonferroni correction showed there was statistically significant difference in mean duration of sensory and motor block between Group A 0. A double-blind randomised trial. Open in a separate window. However, supraclavicjlar were no statistically significant difference in mean duration of sensory block between Group B 0.
Neither the researcher nor the patient was aware of the study medication. A comparison of ropivacaine 0.
Introduction Ever since William Stewart Halsted and Richard John Hall first reported the use of cocaine supraxlavicular block upper extremity nerves inbrachial plexus regional anaesthesia has been used extensively by anaesthesiologists worldwide [ 1 ]. Eur J Anaesthesiol ; The results of our study suggest that 0.
However, bupivacaine is associated with various CNS and cardiac side effects and unintended intravascular injection of bupivacaine lead fhesis cardiac arrest, prolonged resuscitation and a disproportionally high number of deaths [ 34 ].
Supraclavicular Regional Anaesthesia Revisited
Duration of analgesia was the primary outcome. However, there were no statistically significant difference in mean duration suppraclavicular sensory and motor block between Group B 0. Effects of adding dexmedetomidine to levobupivacaine in axillary brachial plexus block. This study was conducted to compare the efficacy of 0.
Duration of sensory and motor block was recorded along with peri-operative haemodynamic monitoring. The clinical versatility of this technique and its ability to avoid the phrenic nerve are clear advantages.
They were divided into three groups of 30 each. The anesthetic efficacy of levobupivacaine in brachial plexus block was similar to that of the racemic solution commonly used.
Supraclavicular Regional Anaesthesia Revisited
Demographic data Click here to view. Ropivacaine is the product of an intensive search for a safer alternative to bupivacaine [ 7 ]. A randomised, triple-blind, controlled study in volunteers. The envelope was opened by an anaesthesiologist not involved in the study and the study medication was prepared and handed over to the researcher.
Find articles by Prabhat Kumar. Onset and duration of sensorimotor blockade, haemodynamic variables, sedation score, and adverse effects were secondary outcomes.
Injection Midazolam 2mg intravenous was administered before proceeding to give the supraclavicular block, to relieve anxiety. The duration of sensory block with 0. This study was conducted to investigate and compare the effectiveness of supraclavicular brachial plexus anaesthesia with two different concentrations of ropivacaine 0.
The brachial plexus is a potential territory shpraclavicular absorption of local anesthetics.
Find articles by Ranjan R. Results The study population consisted of 90 patients posted for elective forehand surgery. In search of better alternative, ropivacaine has been proposed as a promising drug with fewer cardiovascular and central nervous system toxic effects compared with bupivacaine [ 5 ]. Comparison of varying doses of dexmedetomidine combined thess levobupivacaine: