OBJECTIVE To compare the onset, duration and postoperative pain scores of supraclavicular block with bupivacaine alone and bupivacaine-midazolam combination. STUDY DESIGN Randomized controlled clinical trial. PLACE AND DURATION OF STUDY The Postgraduate Medical Institute, Hayatabad Medical Complex, Peshawar, from April 2005 to June 2007. METHODOLOGY A randomized controlled clinical trial ...

Three methods of blocking the brachial plexus with a supraclavicular approach are presented. The pros and cons of using this technique, as well as its usefulness, are discussed. The four most commonly used drugs for blocks also are examined. A 270% increase in blood flow to the arm is achieved by this block but, with the addition of epinephrine, it can be increased to 430%. The permeability of ...

BACKGROUND AND AIMS This study was carried out to evaluate the difference in efficacy, safety, and complications of performing brachial plexus nerve blocks by using a nerve locator when compared to ultrasound (US) guidance. MATERIAL AND METHODS A total of 102 patients undergoing upper limb surgery under supraclavicular brachial plexus blocks were randomly divided into two groups, one with US ...

BACKGROUND The influence of the muscular response elicited by neurostimulation on the success rate of interscalene block using a catheter (ISC) is unknown. In this investigation, we compared the success rate of ISC placement as indicated by biceps or deltoid, triceps, or both twitches. METHODS Three hundred (ASA I-II) patients presenting for elective arthroscopic rotator cuff repair were pros...

10 INDIAN JOURNAL OF APPLIED RESEARCH Volume 7 | Issue 5 | May 2017 | 4.894 ISSN 2249-555X | IF : | IC Value : 79.96 e demographic variables such as age, weight, ASA status and duration of surgery was comparable in both the groups. (P>0.05) (Table 1). e mean time of onset of sensory and motor block was significantly faster in Group BD (8.8±0.91min, 11.36±0.952) than Group BC (11.14±1.13min, 1...

Fractures of the proximal upper extremity present a challenge to the anesthesia provider when administering a regional anesthetic because the dermatomal distribution of the upper extremity requires more local anesthetic coverage than any single brachial plexus nerve block can provide. A 60-year-old woman underwent intramedullary nailing of a pathologic humeral fracture using a combination of re...