Different additives have been used to prolong regional blockade. We designed a prospective, randomized, double-blind study to evaluate the effect of dexamethasone added to lidocaine on the onset and duration of axillary brachial plexus block. Sixty patients scheduled for elective hand and forearm surgery under axillary brachial plexus block were randomly allocated to receive either 34 mL lidoca...

Many techniques and drug regimens, with partial or greater success, have been tried from time to time to eliminate the anxiety component and to prolong the postoperative analgesia during regional anesthesia. α 2 agonists like clonidine, dexmedetomidine are used as adjuvant to local anaesthetics in order to prolong the duration of spinal anaesthesia. They potentiate the effect of local anestheti...

Aim: We aimed to compare the clinical efficacy of levobupivacaine alone and levobupivacaine/sufentanil combination in spinal anesthesia for transurethral resection of the prostate (TURP) in elderly patients. Method: Ninety patients were randomly assigned into two groups to receive either levobupivacaine 10 mg (Group L) or levobupivacaine 7.5 mg combined with 2.5 μg sufentanil (Group LS) for spi...

CONTEXT Epidural anesthesia provides the advantage of segmental blockade and many adjuvants have been added to shorten the onset of action, improve the quality of analgesia and prolong the duration of analgesia. Magnesium sulphate(MgSO4) by virtue of its anti-iociceptive property has been administered by various routes. AIM To assess the effect of MgSO4 on the duration of onset of action of i...

PURPOSE To observe the hemodynamic changes of parturients in the combined use of hyperbaric (4 mg) and hypobaric (6 mg) ropivacaine during spinal anesthesia for caesarean section in this randomized double-blind study. METHODS Parturients (n = 136) undergoing elective cesarean delivery were randomly and equally allocated to receive either combined hyperbaric and hypobaric ropivacaine (Group A)...

High neuraxial blockade is a serious complication in obstetric patients and requires prompt recognition and management in order to optimize patient outcomes. In cases of high neuroblockade, patients may present with significant hypotension, dyspnea, agitation, difficulty speaking or inability to speak, or even loss of consciousness. We report the unusual presentation of an obstetric patient tha...

Background: Spinal anaesthesia remains a popular technique of choice for performing surgeries on abdomen, pelvis and lower limbs. It has fast onset action provides effective sensory motor blockade. is routinely performed by administration 0.5% bupivacaine. Aims: Aim the study was to compare duration blockade between intrathecal isobaric bupivacaine levobupivacaine. Materials methods: 80 patient...

introduction: lower limb surgeries are commonly done by using general anesthesia, regional anesthesia and blockade nerve. patients who are exposed to danger such as cardiovascular and cardiopulmonary patients and hemodynamic instability, for reducing complications in below knee surgery, can use lower limb blockage nerve in popliteal region which is a safe method. materials & methods: in this ex...

BACKGROUND AND OBJECTIVES Continuous sciatic nerve blockade at the popliteal level effectively alleviates postoperative pain after major foot and ankle surgery. No randomized controlled trials have previously compared the success rate of continuous sciatic nerve sensory blockade between ultrasound and nerve stimulation guidance. In the current study, we tested the hypothesis that ultrasound-gui...

Introduction: This single-center, prospective, randomized, double-blind study compares the effect of intrathecal fentanylbupivacaine and tramadol-bupivacaine on the onset and duration of sensory and motor blockade, as well as postoperative analgesia in lower abdominal surgeries. Materials and methods: Patients of either sex, aged 18 to 60 years, American Society of Anesthesiologists (ASA) grade...