Aim: To compare duration and onset of motor sensory block by using dexmedetomidine dexamethasone as adjuvant to bupivicaine in supraclavicular brachial plexusblock. Place study: Department Anaesthesiology, Surgical Intensive Care & Pain Management, Civil Hospital, Dow University Health Sciences Karachi from 29th June 2022 December 2022. Design: Randomized controlled trial study Methodology:...

Backgrounds and objectives: This an attempt to compare the effects of 15ml levobupivacaine 0.75%, 20 ml 0.375% 30ml 0.25% with fixed dosage (75mg) on block characteristics in upper limb surgeries using ultrasound guided supraclavicular block. Materials methods: Titled “Comparative study three different volumes concentrations Levobupivacaine block” performed Department Anaesthesiology, Chettinad...

RESEARCH ARTICLE Effect of Midazolam and 0.5% Levobupivacaine Combination in Ultrasound-guided Supraclavicular Brachial Plexus Block for Upper Limb Surgeries A Clinical Study Bhawana Rastogi, Ankush Arora, Kumkum Gupta, Manish Jain, Vijendra Pal Singh and Avinash Rastogi Department of Anaesthesiology and Critical Care, Subharti Medical College, Meerut, India Lok Nayak Jai Prakash Hospital, New ...

OBJECTIVE To assess and evaluate the accuracy of individual types of evoked motor responses (EMRs) for prediction of successful surgical anesthesia following peripheral nerve stimulator (PNS) assisted supraclavicular block. METHODS A prospective study was carried out over a period of one and half years from August 2004 to January 2006, at J. N. Medical College, Aligarh Muslim University, Alig...

BACKGROUND Current techniques of brachial plexus block are "blind," and nerve localization can be frustrating and time consuming. Previous studies on ultrasound-assisted brachial plexus blocks are mostly performed with scanning probes of 10 MHz or less. The authors tested the usefulness of a state-of-the-art, high-resolution ultrasound probe (up to 12 MHz) in identifying the brachial plexus in ...

A technique employing a nerve stimulator and an insulated needle was used for supraclavicular brachial plexus block in 71 patients using 0.5% plain bupivacaine 15-20 ml. The mean minimal stimulating current to produce paraesthesia was 0.09 mA. The plexus was identified at a mean depth of 27 mm below the skin. The block was successful in 98% of patients when the stimulation was felt in the index...

Background: Seeking for efficient adjuvants to the regional nerve block is still under research, with medication that increases time of analgesia but lesser side effects. Objectives: The purpose this research was study safety and efficacy different additives, namely dexmedetomidine ketamine when added bupivacaine in ultrasound-guided supraclavicular block, assess onset duration sensory motor se...

Background: Because nerve stimulators are not always available for brachial plexus block, fmding the right injection spot for nerve blocks is important. In this study we used physical examination to determine the appropriate spot for injection. Methods: All patients who were candidates for upper extremity surgery and were either in class ASA I or ASA II, were selected. Paresthesia was elici...