Introduction Spinal anesthesia is a widely used technique providing faster onset with effective and uniformly distributed sensory and motor block. Due to decreased cardiovascular and central nervous system toxicity, levobupivacaine is a good alternative for spinal anesthesia. Dexmedetomidine when used intrathecally is associated with prolonged motor and sensory block, hemodynamic stability, and...

[Purpose] The purpose of this study was to examine the relationships between manual dexterity and the Unified Parkinson's Disease Rating Scale-Motor Exam as a clinical tool for quantifying upper extremity function in persons with Parkinson's disease. [Subjects and Methods] Thirty-two persons with idiopathic Parkinson's disease participated in this study. This study measured two clinical outcome...

BACKGROUND Anesthesia induction in patients with current substance abuse can be a challenge for anesthesiologists. OBJECTIVES This study aimed to evaluate the effect of adding Sufentanil to Bupivacaine on duration of brachial plexus nerve block. PATIENTS AND METHODS One hundred and twenty patients with (Groups C and D) and without (Groups A and B) a history of opium abuse (60 in each group)...

background: postoperative pain is one of the major problems in patients with femoral or hip fracture. current study investigates the effect of 0.2% and 0.3% bupivacaine in ultrasound-guided fascia iliaca compartment block (ficb) on postoperative pain.   methods: this randomized clinical trial study was conducted in rasoul akram hospital of iran university of medical sciences. forty-eight patien...

BACKGROUND AND OBJECTIVES Initiation of epidural anesthesia with long-lasting local anesthetics consumes a significant amount of time, which could be problematic in busy obstetric anesthesia suites. We have hypothesized that a combination of articaine and ropivacaine provides faster onset and even an early recovery of sensory-motor block characteristics. METHODS Sixty term parturients schedul...

OBJECTIVE To evaluate the effects of two different spinal isobaric levobupivacaine doses on spinal anesthesia characteristics and to find the minimum effective dose for surgery in patients undergoing transurethral resection (TUR) surgery. MATERIALS AND METHODS Fifty male patients undergoing TUR surgery were included in the study and were randomized into two equal groups: Group LB10 (n=25): 10...

Adjuncts to local anaesthetics for brachial plexus block enhances the quality and duration of analgesia. The purpose of this study was to compare two alpha-2 agonists clonidine and dexmedetomidine, when added as adjuvant to ropivacaine, in respect to onset, duration of sensory and motor block along with duration of analgesia. After informed consent, Sixty ASA I and II patients scheduled for ele...

BACKGROUND Magnesium is a physiologic cation that blocks neuromuscular transmission and does not allow the nerve to be stimulated. OBJECTIVES This study investigates the effect of adding magnesium sulfate to lidocaine to extend the duration of sensory and motor blocks of the axillary plexus in orthopedic surgeries of the upper extremities. PATIENTS AND METHODS This controlled randomized dou...