Objective: Nerve blocks for postoperative analgesia have increased significantly lately. Beside the use of adjuvants plus local anesthetics in nerve block in order to extend the analgesia time. Materials and Methods: Sixty elderly patients, ASA grades II and III scheduled for surgery after hip fracture under intrathecal anesthesia with pre-operative FICB, The patients were blindly randomly allo...

Forty women having requested extradural analgesia for labour were allocated randomly to receive 0.5% ropivacaine or bupivacaine 10 ml as the main dose. When a top-up was requested, 0.25% ropivacaine or bupivacaine 10 ml was given (the same drug as the main dose). The study ended when a second top-up was requested or delivery of the baby occurred. Pain from two contractions was assessed before e...

Regional anesthetic block of the cervical plexus is a safe and useful alternative to general endotracheal anesthesia for surgery of the neck, upper shoulder, and occipital scalp area. The sensory component of the cervical plexus can be blocked separately and easily by a superficial cervical plexus block. Both motor and sensory block can be obtained by deep cervical plexus block. Minor transient...

Background and Objectives: Repivacaine, a long acting local anaesthetic, less toxic than bupivacaine is now being used in peripheral nerve blocks. Most commonly adjuvants are used to enhance the quality and duration of anaesthesia and analgesia. The objective of this study was to compare the effect of tramadol as adjuvant to ropivacaine on the quality, duration of anaesthesia and postoperative ...

BACKGROUND AND AIMS The aim of this study was to evaluate the level of sensory block, onset and duration of motor block, postoperative analgesia, and adverse effects of combination of clonidine and fentanyl given intrathecally with hyperbaric bupivacaine (HB). MATERIAL AND METHODS Three hundred and twenty eight patients were randomized into four groups. Group bupivacaine (group B) received 15...

UNLABELLED Nerve blocks improve postoperative analgesia, but their benefits may be short-lived. This quantitative review examines whether perineural dexmedetomidine as a local anaesthetic (LA) adjuvant for neuraxial and peripheral nerve blocks can prolong the duration of analgesia compared with LA alone. All randomized controlled trials (RCTs) comparing the effect of dexmedetomidine as an LA ad...

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...

PURPOSE To comparatively study the efficacy and maternal and fetal side-effects of two doses of bupivacaine associated with morphine and clonidine, administered by the subarachnoid route for cesarean section. METHODS The study included 66 pregnant women at term, distributed into two groups. GI: bupivacaine 8.0 mg (1.6 mL) + clonidine 75 µg (0.5 mL) + morphine 100 µg (1.0 mL) and GII: bupivaca...

BACKGROUND Subarachnoid block is a widely used technique for cesarean section. To improve the quality of analgesia and prolong the duration of analgesia, addition of intrathecal opioids to local anesthetics has been encouraged. We compared the effects of sufentanil 2.5 µg and 5 µg, which were added to intrathecal hyperbaric bupivacaine. METHODS We enrolled 105 full term parturients were rando...