Enhanced brachial plexus blockade. Effect of pain and muscular exercises on the efficiency of brachial plexus blockade

Summary Three groups each of 20 patients scheduled to undergo operations on hand or forearm, received supraclavicular brachial plexus blocks with 25 ml lignocaine 1.5%. Patients in the control group did not suffer from pain and were not asked to do muscular exercise. Patients with acute trauma of th...

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Veröffentlicht in:Anaesthesia 1988-04, Vol.43 (4), p.327-329
Hauptverfasser: Okasha, A. S., El‐Attar, A. M., Soliman, H. L.
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container_title Anaesthesia
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creator Okasha, A. S.
El‐Attar, A. M.
Soliman, H. L.
description Summary Three groups each of 20 patients scheduled to undergo operations on hand or forearm, received supraclavicular brachial plexus blocks with 25 ml lignocaine 1.5%. Patients in the control group did not suffer from pain and were not asked to do muscular exercise. Patients with acute trauma of the upper limb formed the pain group and showed significantly decreased latency for onset of analgesia, partial and complete muscle paralysis. Patients in the muscle exercise group were free of pain and were asked to do muscular exercise for 5 minutes after injection of the lignocaine. Onset of analgesia, partial and complete muscle paralysis was significantly more rapid than in both control and pain groups. Changes in the duration of block were not significant. It is concluded that pain and muscular exercise enhance the onset of brachial plexus blockade.
doi_str_mv 10.1111/j.1365-2044.1988.tb08987.x
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S.</creatorcontrib><creatorcontrib>El‐Attar, A. M.</creatorcontrib><creatorcontrib>Soliman, H. L.</creatorcontrib><title>Enhanced brachial plexus blockade. Effect of pain and muscular exercises on the efficiency of brachial plexus blockade</title><title>Anaesthesia</title><addtitle>Anaesthesia</addtitle><description>Summary Three groups each of 20 patients scheduled to undergo operations on hand or forearm, received supraclavicular brachial plexus blocks with 25 ml lignocaine 1.5%. Patients in the control group did not suffer from pain and were not asked to do muscular exercise. Patients with acute trauma of the upper limb formed the pain group and showed significantly decreased latency for onset of analgesia, partial and complete muscle paralysis. Patients in the muscle exercise group were free of pain and were asked to do muscular exercise for 5 minutes after injection of the lignocaine. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adolescent
Adult
Anaesthetic techniques, regional
brachial plexus block
Anesthesia
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Brachial Plexus
Female
Hand - physiology
Humans
Local anesthesia. Pain (treatment)
Male
Medical sciences
Middle Aged
Muscles - physiology
Nerve Block
Pain - physiopathology
Physical Exertion
Space life sciences
Time Factors
title Enhanced brachial plexus blockade. Effect of pain and muscular exercises on the efficiency of brachial plexus blockade
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