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 | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 30, Volume 81, Issue 2, October 2020, Page 1531-1537 PDF (591.35 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2020.115575 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Hala Mahmoud; Fawzy Abbas; Mahmoud Gamal El-Din Youssef  ; Ghada Abdelgaber
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| Department of Anesthesia and I.C.U and Pain Management, Faculty of Medicine, Sohag University, Egypt | ||||
| 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. | ||||
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