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18823

Comparative study of either sufentanil or morphine added to a mixture of lignocaine and bupivacaine versus a mixture of lignocaine and bupivacaine alone in brachial plexus block

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Last updated: 03 Jan 2025

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Abstract

This study evaluates the peripheral opioid analgesia by comparing the effects from the addition of two types of opioids, morphine or sufentanil combined with a mixture            mixture of lignocaine, bupivacaine and adrenaline alone for patients underwent elective surgery of the forearm and hand under axillary brachial plexus block. !  " # $l (c) morphine (m) and sufentanil (s) groups. We evaluated onset of sensory block than postoperative mean arterial blood pressure (M.A.B.P), heart rate (HR), pain severity (V.A.S), time of first request of analgesia (T.F.R.A) and adverse effects. Our results showed that there were no significant differences on the onset of sensory block between (c) ,(m) & (s) groups. As regards the M.A.B.P and HR, there were significant increase in (c) group    % &%&%- & nt increase in (m) group   %&%&%-' & %&   %&% & % ā€“  &  (! )  times. After that (iv) morphine were given to abolish the postoperative pain untile the end of the study. Concerning the postoperative pain severity, the results showed that both (m) and (s) groups had significant increase of analgesia as it showed lowest pain scores compared to (c) group, and in (s) group compared to (m) group, using visual analogue scale (V.A.S). Time of first request of analgesia was delayed markedly in (s) group than (m) group and eventually (c) group. The adverse effects were greater with (m) group compared to (c) and (s) group while it was similar between (c) & (s) group.

DOI

10.21608/ejhm.2002.18823

Authors

First Name

Dr Mervat M.

Last Name

El Mously

MiddleName

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Affiliation

Anaesthesia & ICU

Email

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City

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Orcid

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First Name

Hossam M.

Last Name

Kandeel

MiddleName

-

Affiliation

Orthopedic department

Email

-

City

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Orcid

-

Volume

7

Article Issue

1

Related Issue

3806

Issue Date

2002-04-01

Receive Date

2018-11-12

Publish Date

2002-04-01

Page Start

65

Page End

75

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 7_Issue 1_Pages 65-75.pdf

PDF . 254.3kB

Link

https://ejhm.journals.ekb.eg/article_18823.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=18823

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6

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Comparative study of either sufentanil or morphine added to a mixture of lignocaine and bupivacaine versus a mixture of lignocaine and bupivacaine alone in brachial plexus block

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Article

Created At

22 Jan 2023