Journal article
Comparison of the effect of three different adjuvants on the analgesic duration of single injection interscalene brachial plexus block: a prospective, randomized, triple blinded clinical trial
Regional anesthesia and pain medicine, Vol.44(9), pp.866-871
09/2019
DOI: 10.1136/rapm-2018-100201
PMID: 31308262
Abstract
Background and objectivesUse of regional anesthesia can result in faster recovery and better patient satisfaction. Addition of perineural adjuncts to local anesthetics may improve the duration of analgesia, but there is a paucity of data comparing them in a single randomized trial. We compared the effects of three adjuncts clonidine, dexamethasone, and buprenorphine, on the duration of analgesia of interscalene brachial plexus block.Methods160 patients, undergoing elective shoulder surgery, were randomized to four groups to receive an interscalene block with one of the following solutions: ropivacaine alone, ropivacaine with clonidine 75 µg, ropivacaine with dexamethasone 8 mg, or ropivacaine with buprenorphine 300 µg. The primary outcome variable was the duration of analgesia; secondary outcome measures were time to onset of the block, and the duration of sensory and motor blocks.ResultsThere was no statistically significant difference in the total analgesia time among the four groups; p=0.11. The pairwise comparison in analgesic time and 99% CI were: control versus clonidine (−1.94 hours (−7.33 to 3.12)), control versus dexamethasone (−4.16 hours (−9.50 to 0.58)) and control versus buprenorphine (−1.1 hours (−5.34 to 3.23)). There was no differences in block set-up time, or total sensory and motor block duration among the groups.ConclusionThere was no significant improvement in the duration of analgesia with addition of any of the three adjuncts to interscalene blocks. However, there was a larger than expected variability in patient response, hence the study may have been underpowered for the primary outcome.
Details
- Title: Subtitle
- Comparison of the effect of three different adjuvants on the analgesic duration of single injection interscalene brachial plexus block: a prospective, randomized, triple blinded clinical trial
- Creators
- Melinda S SeeringEmine O BaymanCynthia A WongYatish Siddapura RanganathAnil A Marian
- Resource Type
- Journal article
- Publication Details
- Regional anesthesia and pain medicine, Vol.44(9), pp.866-871
- DOI
- 10.1136/rapm-2018-100201
- PMID
- 31308262
- ISSN
- 1098-7339
- eISSN
- 1532-8651
- Language
- English
- Date published
- 09/2019
- Academic Unit
- Biostatistics; Anesthesia
- Record Identifier
- 9983997456702771
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