Additive Effect of Sulfantil to Lidocain and Bupivacain for Supraclavicular Brachial Plexus Block

Purpose: We evaluated the effect of adding Sufentanil to mixture Lidocaine and Bupivacaine used for supraclavicular brachial plexus block in reducing postoperative pain.
 Method: This double-blind clinical intervention trial was conducted 2007. Patients scheduled undergo upper limb orthopedic surgeries under were recruited. Participants one arm given Sufentanil, lidocaine, bupivacaine (Group S) while those other later two drugs C). Postoperative pain assessment done every hour postoperatively till first administration systemic analgesic. a subjective score duration lack muscle movement as parameter judge outcomes. The mean standard deviation compared both arms.
 Result: included 50 patients arms. motor blockade group S C 342.8 (± 145.4) 171.1 (±50.2) minutes respectively. additive blockage 171.7 (95% CI 128.5–214.9) (p = 0.1×10-6). analgesia 892 (±34.7) 350 (±72.1) 542 524–559) In S, patient developed cardiac following pneumothorax had temporary Horner syndrome.
 Conclusion: Analgesia period can be enhanced with addition (an opioid) local anesthetics block.