Effects of Adding Dexmedetomidine to Levobupivacaine in Axillary Brachial Plexus Block

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Axillary Brachial Plexus Block

The axillary approach to brachial plexus blockade provides satisfactory anaesthesia for elbow, forearm, and hand surgery and also provides reliable cutaneous anaesthesia of the inner upper arm including the medial cutaneous nerve of arm and intercostobrachial nerve, areas often missed with other approaches. In addition, the axillary approach remains the safest of the four main options, as it do...

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Dexmedetomidine an Adjuvant to Levobupivacaine in Supraclavicular Brachial Plexus Block: A Randomized Double Blind Prospective Study

BACKGROUND Apha-2 agonists are combined with local anesthetics to extend the duration of regional anesthesia. We evaluated the effect of combining dexmedetomidine with levobupivacine with respect to duration of motor and sensory block and duration of analgesia. METHODS Sixty patients scheduled for elective forearm and hand surgery were divided into two equal groups in a randomized double blin...

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Dexmedetomidine as an adjuvant to levobupivacaine in ultrasound guided supraclavicular brachial plexus block

Background: Alpha-2 agonists are added to local anesthetic agents to extend the duration of peripheral nerve blocks. Objective: We evaluated the effect of combining dexmedetomidine with levobupivacine with respect to duration of motor and sensory block and duration of analgesia. Material and Methods: Sixty patients of ASA grade I or II aged between 18-60 years, posted for elective upper limb su...

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Convulsion due to levobupivacaine in axillary brachial plexus block: Case report

Axillary brachial plexus block is an effective method of anaesthesia for the surgeries performed on the hand, forearm and distal third of the arm. However it has the risk of serious complications such as cardiovascular and central nervous system toxicity. Levobupivacaine is a long acting amide local anaesthetic used for epidural, caudal, spinal, infiltration and peripheral nerve blocks. Levobup...

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Axillary brachial plexus block: method of choice?

The first brachial plexus block is said to have been performed by William Halsted in 1884 [32], soon after Roller [13] had demonstrated the local anaesthetic properties of cocaine. He injected the drug under direct vision, after exposing the plexus using infiltration anaesthesia. The first percutaneous blocks were performed independently in 1911 by Hirschel [11] and Kulenkampff [14], using the ...

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ژورنال

عنوان ژورنال: Current Therapeutic Research

سال: 2012

ISSN: 0011-393X

DOI: 10.1016/j.curtheres.2012.03.001