EVOLUTION OF ANALGESIC EFFECTS OF TRAMADOL ADDED TO 2% LIDOCAINE IN CONTINUOUS SUPRACLAVICULAR BLOCK IN UPPER EXTREMITY SURGERY

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IMANI F.; HASANI V.A.; ENTEZARI S.R.; KHOSRAVI A.

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Paper Information

Journal: JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE Year:2006 | Volume:28 | Issue:54 Page(s): 51-59

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Title

EVOLUTION OF ANALGESIC EFFECTS OF TRAMADOL ADDED TO 2% LIDOCAINE IN CONTINUOUS SUPRACLAVICULAR BLOCK IN UPPER EXTREMITY SURGERY

Author(s)

IMANI F. | HASANI V.A. | ENTEZARI S.R. | KHOSRAVI A. | Issue Writer Certificate

Keywords

TRAMADOLQ2

LIDOCAINEQ3

SUPRACLAVICULAR BLOCKQ3

UPPER EXTREMITY SURGERYQ3

Abstract

Background: The goal of this study is comparison of adding TRAMADOL to LIDOCAINE in continuous SUPRACLAVICULAR BLOCK for upper extremity procedure.Materials and Methods: This Study was done on 100 patients aged 20-60 yrs, with ASA physical status I or II undergoing upper extremity procedures under continuous SUPRACLAVICULAR BLOCK. The block was performed by peripheral nerve stimulator, and after desirable muscular responses, catheter for additional injections was indwelt. Patients were randomly allocated in two groups. Group LN (n=50) received 2% LIDOCAINE 7 mg/kg plus 2 ml distilled water, and group LT(n=50) received 2% LIDOCAINE 7 mg/kg plus 100 mg (2 ml) TRAMADOL. For additional intraoperative analgesia, 2% LIDOCAINE through catheter, and intravenous sufentanil and midazolam was administrated.Onset and duration of complete sensory and motor block, total intraoperative drug consumption (lidocaine, sufentanil and midazolam), postoperative sensory and motor block, time to first postoperative analgesic request, complications, and demographic data were recorded.Results: There were no significant differences in subject demographic and clinical data between LIDOCAINE (LN) and LIDOCAINE plus TRAMADOL (LT) groups with respect to age, gender, weight, anesthesia duration and surgical time. Onset of complete sensory and motor block was more rapid in LT than LN group. Although, duration of complete sensory block was longer in LT than LN group, There were no significant differences in respect to postoperative sensory and motor block between the two groups. Also, total LIDOCAINE administrated through supraclavicular catheter was significantly lesser in LT group compared to LN group. There were no significant differences in respect to postoperative sensory and motor block, and complications between the two groupds. In LT compared to LN group, intraoperative sutentanil (but not midazolam) consumption was significantly less, and time to first postoperative analgesic request was significantly greater.Conclusion: Addition of 100 mg TRAMADOL to 2% LIDOCAINE for continuous SUPRACLAVICULAR BLOCK can provides specific analgesic effects on peripheral nerves, and may be an appropriate alternative to adjuvant for adding to local anesthetics.

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APA: Copy

IMANI, F., HASANI, V.A., ENTEZARI, S.R., & KHOSRAVI, A.. (2006). EVOLUTION OF ANALGESIC EFFECTS OF TRAMADOL ADDED TO 2% LIDOCAINE IN CONTINUOUS SUPRACLAVICULAR BLOCK IN UPPER EXTREMITY SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, 28(54), 51-59. SID. https://sid.ir/paper/63268/en

Vancouver: Copy

IMANI F., HASANI V.A., ENTEZARI S.R., KHOSRAVI A.. EVOLUTION OF ANALGESIC EFFECTS OF TRAMADOL ADDED TO 2% LIDOCAINE IN CONTINUOUS SUPRACLAVICULAR BLOCK IN UPPER EXTREMITY SURGERY. JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE[Internet]. 2006;28(54):51-59. Available from: https://sid.ir/paper/63268/en

IEEE: Copy

F. IMANI, V.A. HASANI, S.R. ENTEZARI, and A. KHOSRAVI, “EVOLUTION OF ANALGESIC EFFECTS OF TRAMADOL ADDED TO 2% LIDOCAINE IN CONTINUOUS SUPRACLAVICULAR BLOCK IN UPPER EXTREMITY SURGERY,” JOURNAL OF IRANIAN SOCIETY ANAESTHESIOLOGY AND INTENSIVE CARE, vol. 28, no. 54, pp. 51–59, 2006, [Online]. Available: https://sid.ir/paper/63268/en

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