Background: Different adjuvant drugs have been used with local anesthetics in order to decrease the time of onset and elongate the duration and quality of regional blocks. This study was performed to study the effects of one of the adjuvants, verapamil, in supraclavicular block. Methods: In this double blinded clinical trial, we divided 60 ASA class I and II patients who were to undergo upper e...

Objective: To compare the efficacy of supraclavicular brachial plexus block with patient-controlled intravenous analgesia (PCIA) for post-operative pain management in forearm surgery.
 Study Design: Comparative Cross-Sectional Study.
 Place and Duration Study: Department Anesthesia, Combined Military Hospital, Kharian Pakistan, from Sep 2018 to Nov 2019.
 Methodology: Eighty-two ...

We report a case of multiple upper limb fractures resulting from road traffic accident, wherein the patient declined general anesthesia. Instead, we successfully administered anesthesia using ultrasound-guided supraclavicular and suprascapular nerve blocks, combined with continuous perineural brachial plexus block. The surgical procedure was completed within six hours, no complications were enc...

Introduction: Lignocaine with adrenaline is used with local anaesthetics to improve the onset and increase the duration of nerve block. The present study aimed to evaluate it's effect when used together with ropivacaine. Objective: To evaluate the effect of adding 2% lignocaine with adrenaline to 0.5% ropivacaine, for supraclavicular brachial plexus blockade on the onset and duration of sensory...

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...