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115575

Comparison between Levobupivacaine Alone and Levobupivacaine with Fentanyl in Extending the Duration and Postoperative Analgesia of Supraclavicular Brachial Plexus Block for Elective Upper Limb Orthopedic Surgeries

Article

Last updated: 30 Jan 2023

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Abstract

Background: Brachial plexus Block is widely utilized nowadays in high risk patients with high safety margins providing hemodynamic stability and optimal muscle relaxation.
Objectives: The aim of the work was to evaluate the efficacy of fentanyl as an adjuvant on hemodynamic stability, onset and duration of the block and postoperative analgesia.
Patients and methods: This study included a total of subjected for upper limb




double blinded randomized




100 patients




orthopedic surgeries using
Hospital. Patients were divided randomly into two groups, group L (control group) and group LF (study group). Regular hemodynamics monitoring were done.
Results: there was no significant difference between both groups as regard hemodynamics, although there was significant faster onset of the block and prolongation of its duration in group LF. Also, the VRS pain score was significantly lower in the postoperative period in group LF and less analgesic requirement.
Conclusion: It could be concluded that using fentanyl as an adjuvant to levobupivacaine is effective in enhancing the onset of the brachial plexus block and prolonging the duration of motor and sensory blocks with no hemodynamic changes. It effectively prolongs postoperative analgesia and lowers the analgesic requirements.

DOI

10.21608/ejhm.2020.115575

Authors

First Name

Hala

Last Name

Mahmoud

MiddleName

-

Affiliation

Department of Anesthesia and I.C.U and Pain Management, Faculty of Medicine, Sohag University, Egypt

Email

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City

-

Orcid

-

First Name

Fawzy

Last Name

Abbas

MiddleName

-

Affiliation

Department of Anesthesia and I.C.U and Pain Management, Faculty of Medicine, Sohag University, Egypt

Email

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City

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Orcid

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First Name

Mahmoud Gamal El-Din

Last Name

Youssef

MiddleName

-

Affiliation

Department of Anesthesia and I.C.U and Pain Management, Faculty of Medicine, Sohag University, Egypt

Email

damong255@gmail.com

City

-

Orcid

-

First Name

Ghada

Last Name

Abdelgaber

MiddleName

-

Affiliation

Department of Anesthesia and I.C.U and Pain Management, Faculty of Medicine, Sohag University, Egypt

Email

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City

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Orcid

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Volume

81

Article Issue

2

Related Issue

17338

Issue Date

2020-10-01

Receive Date

2020-09-27

Publish Date

2020-10-01

Page Start

1,531

Page End

1,537

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 2_Pages 1531-1537.pdf

PDF . 605.5kB

Link

https://ejhm.journals.ekb.eg/article_115575.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=115575

Order

30

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

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

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Article

Created At

22 Jan 2023