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

Mahmoud, Hala; Abbas, Fawzy; Youssef, Mahmoud Gamal El-Din; Abdelgaber, Ghada

doi:10.21608/ejhm.2020.115575

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

Document Type : Original Article

Authors

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

10.21608/ejhm.2020.115575

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.