Journals / Şişli Etfal Hastanesi Tıp Bülteni / 2019 / Cilt: 53 - Sayı: 1

Prolonged Analgesic Efficacy of Articaine with the Addition of Tramadol in Axillary Brachial Plexus Block

Pages
21–26
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In groupAT, 2 patients experienced the side effect of nausea and 1 patient had hypotension in the postoperative period.Conclusion: This study demonstrated that the addition of 100 mg of tramadol to articaine used for an axillary plexus block prolonged analgesia.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Articaine is a rapid-onset, short-duration, local anesthetic.
📊
Key Findings & Data:The aim of this study was to study the effect of adding tramadol to articaine in an axillary block to prolong the analgesic effect.Methods: This study was conducted with 60 patients of American Association of Anesthesiologists classification I or II and aged 18to 60 years who underwent hand or forearm surgery with an axillary plexus block using a nerve stimulation technique.
💡
Conclusion & Impact:In groupAT, 2 patients experienced the side effect of nausea and 1 patient had hypotension in the postoperative period.Conclusion: This study demonstrated that the addition of 100 mg of tramadol to articaine used for an axillary plexus block prolonged analgesia.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objectives: Articaine is a rapid-onset, short-duration, local anesthetic. The aim of this study was to study the effect of adding tramadol to articaine in an axillary block to prolong the analgesic effect.Methods: This study was conducted with 60 patients of American Association of Anesthesiologists classification I or II and aged 18to 60 years who underwent hand or forearm surgery with an axillary plexus block using a nerve stimulation technique. The patientswere randomized into 2 groups: Group A (n=30) received 40 mL 1% articaine and Group AT (n=30) was administered 40 mL 1%articaine with 100 mg tramadol. The onset of sensory block, motor block, duration of sensorial block and motor block, durationof analgesia and hemodynamic parameters were recorded before the block and 5, 10, 20, 30, 60, 120, 180 minutes after the localanesthetic injection.Results: The sensory block duration in Group AT (187.5±13.0 min) was significantly longer than that of group A (140.78±8.74 min)(p<0.02). The motor block duration in Group AT (137.4±3 min) was significantly longer than that seen in Group A (93.71±9.6 min)(p<0.01). The duration of analgesia was longer in Group AT (218.8±18.2 min) than in Group A (170.8±17.2 min) (p<0.05). In groupAT, 2 patients experienced the side effect of nausea and 1 patient had hypotension in the postoperative period.Conclusion: This study demonstrated that the addition of 100 mg of tramadol to articaine used for an axillary plexus block prolonged analgesia.

🔖

Cite This Article

KILINÇ, L., ÇINAR, S., TÜRK, H. Ş. (2019). Prolonged Analgesic Efficacy of Articaine with the Addition of Tramadol in Axillary Brachial Plexus Block. Şişli Etfal Hastanesi Tıp Bülteni, Cilt: 53 - Sayı: 1, 21–26. https://ajindex.com/articles/363689

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Kaur H, Singh G, Rani S, Gupta KK, Kumar M, Rajpal AS, et al. Effect of dexmedetomidine as an adjuvant to levobupivacaine in supraclavicular brachial plexus block: A randomized double-blind prospective study. J Anaesthesiol Clin Pharmacol 2015;31:333–8
  2. Janzen PR, Vipond AJ, Bush DJ, Hopkins PM. A comparison of 1% prilocaine with 0.5% ropivacaine for outpatient-based surgery under axillary brachial plexus block. Anesth Analg 2001;93:187–91
  3. Saryazdi H, Yazdani A, Sajedi P, Aghadavoudi O. Comparative evaluation of adding different opiates (morphine, meperidine, buprenorphine, or fentanyl) to lidocaine in duration and quality of axillary brachial plexus block. Adv Biomed Res 2015;4:232
  4. Freitag M, Zbieranek K, Gottschalk A, Bubenheim M, Winter R, Tuszynski S, et al. Comparative study of different concentrations of prilocaine and ropivacaine for intraoperative axillary brachial plexus block. Eur J Anaesthesiol 2006;23:481–6
  5. Sert H, Muslu B, Usta B, Colak N, Irem Demircioglu R, Gozdemir M. A comparison of articaine and fentanyl-supplemented articaine for hemodialysis fistula creation under ultrasound-guided axillary block. Ren Fail 2011;33:280–4
  6. Bajwa SJ, Jindal R. Use of Articaine in loco-regional anesthesia for day care surgical procedures. J Anaesthesiol Clin Pharmacol 2012;28:444–50
  7. Snoeck M. Articaine: a review of its use for local and regional anesthesia. Local Reg Anesth 2012;5:23–33
  8. Karakaya D, Büyükgöz F, Bariş S, Güldoğuş F, Tür A. Addition of fentanyl to bupivacaine prolongs anesthesia and analgesia in axillary brachial plexus block. Reg Anesth Pain Med 2001;26:434–8
  9. Patil KN, Singh ND. Clonidine as an adjuvant to ropivacaine-induced supraclavicular brachial plexus block for upper limb surgeries. J Anaesthesiol Clin Pharmacol 2015;31:365–9
  10. Kaabachi O, Ouezini R, Koubaa W, Ghrab B, Zargouni A, Ben Abdelaziz A. Tramadol as an adjuvant to lidocaine for axillary brachial plexus block. Anesth Analg 2009;108:367–70
  11. Das B, Lakshmegowda M, Sharma M, Mitra S, Chauhan R. Supraclavicular brachial plexus block using ropivacaine alone or combined with dexmedetomidine for upper limb surgery: A prospective, randomized, double-blinded, comparative study. Rev Esp Anestesiol Reanim 2016;63:135-40. [Article in English, Spanish] 12. Kayser V, Besson JM, Guilbaud G. Evidence for a noradrenergic component in the antinociceptive effect of the analgesic agent tramadol in an animal model of clinical pain, the arthritic rat. Eur J Ph