Adding 5% Dextrose Water to Bupivacaine in Ultrasound-Guided Axillary Brachial Plexus Block
Journal Title: UNKNOWN - Year 2016, Vol 1, Issue 1
Abstract
Aim and Background Axillary block is a common practiced anesthesia technique for upper limb surgeries. The aim of this study was to evaluate the effect of using 5% dextrose as a diluent compared to normal saline in upper limb surgeries. Methods In this clinical trial, 60 patients scheduled for upper extremity surgery, were randomly allocated to bupivacaine 0.5 % (20 cc) + normal saline (20 cc) (BN group) and bupivacaine 0.5% (20 cc) + dextrose water 5% (20 cc) (BD group). Evaluation of motor and sensory block was performed every 5 minutes for the first 30 minutes, then every 10 minutes for another 30 minutes and every 15 minutes till the end of the surgery and compared between groups. Results Time required for sensory block for the median nerve was significantly less in the BD group (19.8 and plusmn; 9.3 vs. 26.6 and plusmn; 14.0). Onset of complete motor block did not achieve any significant difference between groups. Conclusions Dilution with 5% dextrose provides earlier onset of sensory block for the median nerve with bupivacaine 0.5% compared to normal saline.
Authors and Affiliations
Hamid Reza Faiz, Farnad Imani, Saeid Reza Entezary, Mohesn Ziaifard, Zahra Sadat Koleini, Poupak Rahimzadeh
Keywords
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- EP ID EP229340
- DOI 10.5812/aacc.8313
- Views 62
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