2018
DOI: 10.4103/aer.aer_50_18
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Dexmedetomidine and fentanyl as an adjunct to bupivacaine 0.5% in supraclavicular nerve block: A randomized controlled study

Abstract: Background:Brachial plexus block is gaining popularity day by day for upper limb surgery. The supraclavicular brachial plexus block may be used for surgical anesthesia alone or in conjunction with general anesthesia.Aims:We intended to compare the effect of dexmedetomidine and fentanyl as adjuvant to bupivacaine on onset and duration of block and postoperative analgesia during ultrasonic guided supraclavicular nerve block for upper limb surgeries.Settings and Design:This study design was a prospective randomiz… Show more

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Cited by 26 publications
(29 citation statements)
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“…The present study also confirms the better analgesic-sparing effect of dexmedetomidine than fentanyl as demonstrated in the previous studies when used as an adjuvant to bupivacaine in supraclavicular nerve block[19] and wound infiltration in abdominal hysterectomy. [20]…”
Section: Discussionsupporting
confidence: 91%
“…The present study also confirms the better analgesic-sparing effect of dexmedetomidine than fentanyl as demonstrated in the previous studies when used as an adjuvant to bupivacaine in supraclavicular nerve block[19] and wound infiltration in abdominal hysterectomy. [20]…”
Section: Discussionsupporting
confidence: 91%
“…Clonidine has been used as an α2 agonist with ropivacaine in the axillary block [23]. In recent studies, the administration of dexmedetomidine has been described as an effective drug in increasing the block's time [24,25]. It also increased the risk of bradycardia, hypotension, and drowsiness [3].…”
Section: Discussionmentioning
confidence: 99%
“…For the prolongation of the duration of the brachial plexus block, some authors recommend the addition of dexmedetomidine, which is better in prolonging the duration of the supraclavicular block, and the improvement of postoperative analgesia from fentanyl and bupivacaine without significant adverse effects in patients undergoing surgery of the upper extremities ( 9 ).…”
Section: Discussionmentioning
confidence: 99%