Objective: To compare the effects of dexamethasone and fentanyl when added to a mixture bupivacaine lignocaine in supraclavicular blocks patients undergoing forearm surgeries. Methods: Sixty-six aged between 20 60 years old belonging ASA one or two were recruited prospectively, double-blinded, randomized way. Supraclavicular block under sonographic guidance was performed three groups by using i...

paraneoplastic cerebellar degeneration is a rare, fatal neuronal syndrome associated with ovarian, breast and lung cancers. anti-yo antibody mediated paraneoplastic cerebellar degeneration is known to be associated with gynecological malignancies, especially ovarian cancer. however, there are no reports of anti-yo antibody associated predominant peripheral mixed sensory and motor neuropathy in ...

BACKGROUND Bicarbonate, as an adjunct increasing the non-ionized form of local anesthetics, can reduce latency and prolong duration of regional nerve block. Warming of local anesthetics decreases pKa and also increases the non-ionized form of local anesthetics. We warmed ropivacaine to body temperature (37℃) and evaluated the sensory block onset time, motor block onset time and analgesic durati...

local anesthetic solutions are frequently mixed to take advantage of the useful properties of each drug but the medical literature is surprisingly deficient in well controlled studies about the onset and duration of action of these mixtures for epidural anesthesia. a total of 32 patients scheduled for elective operation were enrolled in this prospective randomized controlled study; in group i, ...

To evaluate the hypothesis that adding dexmedetomidine to ropivacaine prolongs axillary brachial plexus block. Forty-five patients of ASA I~II and aged 25-60 yr who were scheduled for elective forearm and hand surgery were randomly divided into 3 equal groups and received 40 ml of 0.33% ropivacaine + 1 ml dexmedetomidine (50 μg) (Group DR1), 40 ml of 0.33% ropivacaine + 1 ml dexmedetomidine (10...

OBJECTIVES To determine the effect of adding dexmedetomidine to bupivacaine for neuraxial anesthesia. METHODS Sixty-six patients were studied between April and May 2008 in the University of Jordan, Amman Jordan. They were randomly assigned into 3 groups, each receiving spinal bupivacaine 12.5mg combined with normal saline (group N) Dexmedetomidine 5 microg (group D5), or dexmedetomidine 10 mi...

Background: Nalbuphine, a potent analgesic with both kappa agonist and antagonist properties, is derivative of 14-hydroxymorphine. Extensive research has been conducted on the use nalbuphine as an adjuvant to local anesthetics, specifically in axillary brachial plexus blocks, intravenous spinal applications. The study aimed assess effectiveness blocks when used conjunction anaesthetics. Patient...