Experience of using local anesthetic combinations

Background. The general toxic effects of local anesthetics on vital organs are the most severe side regional blockades. purpose was to study effectiveness and safety combined solutions in brachial plexus block. Materials methods. Forty-nine patients were divided into 2 groups. first group (controls) consisted 24 individuals who received a solution 0.5% bupivacaine 36 ml (180 mg) with adrenaline 1 : 200,000 as an adjuvant block plexus. second (main) 25 patients, treated mixture 2% lidocaine 12 (240 (60 diluted 0.9% NaCl adjuvant. Results. In (bupivacaine), onset time sensory averaged 11.3 ± 4.3 minutes, motor — 21.0 7.8 minutes. duration 894 237 (mixture), 8.0 3.6 14.0 6.2 which significantly less than group. 539 186 longest postoperative analgesia registered 984 263 main slightly shorter 612 210 Conclusions. proposed combination allows reducing dose by three times, decreases complications conduction anesthesia. clinical use drug reduces latent period provides long-term analgesia.