Effects of Ultrasound-Guided Supraclavicular Block Using Bupivacaine-Dexmedetomidine or Bupivacaine Alone in Hemodynamics of Patients Undergoing Upper Limb Orthopedic Surgery: A Comparison
Background: The aim of this study was to evaluate the effect of bupivacaine with dexmedetomidine in comparison with bupivacaine during supraclavicular block with ultrasound guide on hemodynamics of patients undergoing upper limb orthopedic surgery. Methods: Eighty patients (40 patients in each gro...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2022-12-01
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| Series: | Acta Medica Iranica |
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| Online Access: | https://acta.tums.ac.ir/index.php/acta/article/view/10086 |
| _version_ | 1798004139406393344 |
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| author | Ebrahim Espahbodi Seyed Mojtaba Marashi Ali Reza Khajenasiri Mehdi Sanatkar Siamak Yousefi Reza Atef Yekta |
| author_facet | Ebrahim Espahbodi Seyed Mojtaba Marashi Ali Reza Khajenasiri Mehdi Sanatkar Siamak Yousefi Reza Atef Yekta |
| author_sort | Ebrahim Espahbodi |
| collection | DOAJ |
| description |
Background: The aim of this study was to evaluate the effect of bupivacaine with dexmedetomidine in comparison with bupivacaine during supraclavicular block with ultrasound guide on hemodynamics of patients undergoing upper limb orthopedic surgery.
Methods: Eighty patients (40 patients in each group) who were candidates for upper limb orthopedic surgery randomly received 30 ml of bupivacaine alone (group 1) or 30 ml of bupivacaine with 20 μg of dexmedetomidine (group 2). Supraclavicular nerve block was performed using ultrasound guide. Patients' hemodynamic data (including mean arterial blood pressure, heart rate per minute, respiration rate per minute, and peripheral blood oxygen saturation), onset of action, and duration of sensory-motor block were compared between the two groups.
Results: The mean arterial blood pressure during surgery in group 2 was lower than group 1, but the differences were not statistically significant. The onset of sensory and motor block in group 2 was significantly shorter than in group 1 (P = 0.0001). The duration of sensory and motor block in group 2 was significantly longer than group 1 (P = 0.0001) During this study, none of the patients had hemodynamic disturbance or surgical complications.
Conclusion: Addition of dexmedetomidine to bupivacaine during supraclavicular block in addition to hemodynamic stability of the patient during surgery increases the duration of sensory and motor block.
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| first_indexed | 2024-04-11T12:18:52Z |
| format | Article |
| id | doaj.art-f7ed9c0d70b3475cb83960f42b35effa |
| institution | Directory Open Access Journal |
| issn | 0044-6025 1735-9694 |
| language | English |
| last_indexed | 2024-04-11T12:18:52Z |
| publishDate | 2022-12-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Acta Medica Iranica |
| spelling | doaj.art-f7ed9c0d70b3475cb83960f42b35effa2022-12-22T04:24:11ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942022-12-01601010.18502/acta.v60i7.10213Effects of Ultrasound-Guided Supraclavicular Block Using Bupivacaine-Dexmedetomidine or Bupivacaine Alone in Hemodynamics of Patients Undergoing Upper Limb Orthopedic Surgery: A ComparisonEbrahim Espahbodi0Seyed Mojtaba Marashi1Ali Reza Khajenasiri2Mehdi Sanatkar3Siamak Yousefi4Reza Atef Yekta5Department of anesthesiology and critical care and pain medicine, Imam khomeiny hospital, Tehran university of medical science, Tehran, IranDepartment of Anesthesiology and Critical Care, Shariati Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Department of Anesthesiology and Critical Care, Shariati Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, IranDepartment of Anesthesiology and Critical Care, Farabi Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, IranFaculty of Medicine, Tehran University of Medical Science, Tehran, IranDepartment of Anaesthesiology at Tehran University of Medical Sciences, Tehran, Iran Background: The aim of this study was to evaluate the effect of bupivacaine with dexmedetomidine in comparison with bupivacaine during supraclavicular block with ultrasound guide on hemodynamics of patients undergoing upper limb orthopedic surgery. Methods: Eighty patients (40 patients in each group) who were candidates for upper limb orthopedic surgery randomly received 30 ml of bupivacaine alone (group 1) or 30 ml of bupivacaine with 20 μg of dexmedetomidine (group 2). Supraclavicular nerve block was performed using ultrasound guide. Patients' hemodynamic data (including mean arterial blood pressure, heart rate per minute, respiration rate per minute, and peripheral blood oxygen saturation), onset of action, and duration of sensory-motor block were compared between the two groups. Results: The mean arterial blood pressure during surgery in group 2 was lower than group 1, but the differences were not statistically significant. The onset of sensory and motor block in group 2 was significantly shorter than in group 1 (P = 0.0001). The duration of sensory and motor block in group 2 was significantly longer than group 1 (P = 0.0001) During this study, none of the patients had hemodynamic disturbance or surgical complications. Conclusion: Addition of dexmedetomidine to bupivacaine during supraclavicular block in addition to hemodynamic stability of the patient during surgery increases the duration of sensory and motor block. https://acta.tums.ac.ir/index.php/acta/article/view/10086Regional AnesthesiaDexmedetomidineBupivacaineSupraclavicular nerve block |
| spellingShingle | Ebrahim Espahbodi Seyed Mojtaba Marashi Ali Reza Khajenasiri Mehdi Sanatkar Siamak Yousefi Reza Atef Yekta Effects of Ultrasound-Guided Supraclavicular Block Using Bupivacaine-Dexmedetomidine or Bupivacaine Alone in Hemodynamics of Patients Undergoing Upper Limb Orthopedic Surgery: A Comparison Acta Medica Iranica Regional Anesthesia Dexmedetomidine Bupivacaine Supraclavicular nerve block |
| title | Effects of Ultrasound-Guided Supraclavicular Block Using Bupivacaine-Dexmedetomidine or Bupivacaine Alone in Hemodynamics of Patients Undergoing Upper Limb Orthopedic Surgery: A Comparison |
| title_full | Effects of Ultrasound-Guided Supraclavicular Block Using Bupivacaine-Dexmedetomidine or Bupivacaine Alone in Hemodynamics of Patients Undergoing Upper Limb Orthopedic Surgery: A Comparison |
| title_fullStr | Effects of Ultrasound-Guided Supraclavicular Block Using Bupivacaine-Dexmedetomidine or Bupivacaine Alone in Hemodynamics of Patients Undergoing Upper Limb Orthopedic Surgery: A Comparison |
| title_full_unstemmed | Effects of Ultrasound-Guided Supraclavicular Block Using Bupivacaine-Dexmedetomidine or Bupivacaine Alone in Hemodynamics of Patients Undergoing Upper Limb Orthopedic Surgery: A Comparison |
| title_short | Effects of Ultrasound-Guided Supraclavicular Block Using Bupivacaine-Dexmedetomidine or Bupivacaine Alone in Hemodynamics of Patients Undergoing Upper Limb Orthopedic Surgery: A Comparison |
| title_sort | effects of ultrasound guided supraclavicular block using bupivacaine dexmedetomidine or bupivacaine alone in hemodynamics of patients undergoing upper limb orthopedic surgery a comparison |
| topic | Regional Anesthesia Dexmedetomidine Bupivacaine Supraclavicular nerve block |
| url | https://acta.tums.ac.ir/index.php/acta/article/view/10086 |
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