Anaesthetic and analgesic eects of adding fentanyl to bupivacaine-lignocaine mixtures in supraclavicular brachial plexus block  a comparative study with or without fentanyl

Zainab, Farhanaz; Faruq, Mohammad Omar; Talukder, Moumita; Yeasmeen, Sabina; Alam, Akm Shamsul; Haque, AKM Faizul

doi:10.3329/bmj.v44i1.26348

Cited by 2 publications

(3 citation statements)

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“…Sert et al 22 also demonstrated prolongation of the motor and sensory block as well as the time of first analgesic requirement when fentanyl was added to articaine in axillary blocks. In a study conducted by Zainab et al 23 in which 100 mcg fentanyl was added to lignocaine-bupivacaine mixtures in supraclavicular brachial plexus block, the mean onset of sensory and motor block was significantly early and the duration of analgesia was significantly longer. The patients with added fentanyl had no pain up to 4 hours; first pain (VAS >4) reporting was around 5 hours, and the worst pain was experienced after 8 hours.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound Guided Infraclavicular Block for Pain Control After Upper Extremity Surgery

Yalçın¹,

Arı

Köksal

et al. 2018

Hosp Pract Res

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Background: Opioids added to local anesthetics for peripheral nerve blocks may intensify analgesia and prolong analgesic and sensorial block duration. These agents may also cause potentiation and prolongation of motor block. Objective: This study compared the postoperative effects of 30 mL of 0.25% bupivacaine +50 mcg fentanyl and 30 mL of 0.25% bupivacaine + 100 mcg fentanyl solutions for the ultrasound-guided infraclavicular block in patients undergoing elbow and forearm surgery. Methods: In this randomized double-blind study, thirty-six patients with risk of ASA class I-III were randomly allocated into 2 randomized groups. Ultrasound-guided infraclavicular blocks with 30 mL of 0.25% bupivacaine + 50 mcg fentanyl for group 1 and 30 mL of 0.25% bupivacaine + 100 mcg fentanyl for group 2 were performed before patients emerged from general anesthesia. After surgery, pain levels at rest and during movement were evaluated using the 10-cm visual analog scale (VAS) at recovery room admission, at the 15th and 30th minutes in the recovery room, and at the 2nd, 6th, 12th and 24th hours postoperatively. Both morphine and rescue analgesic requirements were recorded. Sensorial and motor block durations, patient satisfaction, and complications related to the infraclavicular block were recorded. Results: In both groups, no significant difference in VAS pain scores, total morphine and total rescue analgesic requirements, duration of sensorial and motor block, or patient satisfaction were observed. None of the patients experienced any complications. Conclusion: The mixtures of 0.25% bupivacaine + 50 mcg fentanyl and 0.25% bupivacaine + 100 mcg fentanyl showed similar postoperative effects.

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Section: Discussionmentioning

confidence: 99%

“…This study revealed that the addition of fentanyl causes significantly early onset of anesthesia and longer duration of analgesia without any side effects. 23…”

Section: Discussionmentioning

confidence: 99%

Ultrasound Guided Infraclavicular Block for Pain Control After Upper Extremity Surgery

Yalçın¹,

Arı

Köksal

et al. 2018

Hosp Pract Res

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“…Large volumes of local anesthetics required to produce desirable effects may result in systemic side effects. [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

Fentanyl and clonidine as adjuncts to a mixture of local anesthetics in potentiating postoperative analgesia in supraclavicular block: A randomized controlled study

Puri¹,

Singh²,

Madan³

2020

Int J Crit Illn Inj Sci

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Anaesthetic and analgesic eects of adding fentanyl to bupivacaine-lignocaine mixtures in supraclavicular brachial plexus block a comparative study with or without fentanyl

Abstract: Abstract

Cited by 2 publications

References 12 publications

Ultrasound Guided Infraclavicular Block for Pain Control After Upper Extremity Surgery

Ultrasound Guided Infraclavicular Block for Pain Control After Upper Extremity Surgery

Fentanyl and clonidine as adjuncts to a mixture of local anesthetics in potentiating postoperative analgesia in supraclavicular block: A randomized controlled study

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Anaesthetic and analgesic eects of adding fentanyl to bupivacaine-lignocaine mixtures in supraclavicular brachial plexus block  a comparative study with or without fentanyl

Abstract: Abstract

Cited by 2 publications

References 12 publications

Ultrasound Guided Infraclavicular Block for Pain Control After Upper Extremity Surgery

Ultrasound Guided Infraclavicular Block for Pain Control After Upper Extremity Surgery

Fentanyl and clonidine as adjuncts to a mixture of local anesthetics in potentiating postoperative analgesia in supraclavicular block: A randomized controlled study

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Anaesthetic and analgesic eects of adding fentanyl to bupivacaine-lignocaine mixtures in supraclavicular brachial plexus block a comparative study with or without fentanyl