Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1996-12-4
pubmed:abstractText
This study assessed the minimum dose of clonidine required to prolong the duration of both anesthesia and analgesia after axillary brachial plexus blockade. Eighty patients scheduled for elective hand surgery were divided into eight groups in a randomized, double-blind fashion. An axillary brachial plexus block was performed with 40 mL 1% mepivacaine plus 1:200,000 epinephrine. The control group received no clonidine. In the other groups, increasing doses of clonidine (0.1, 0.2, 0.3, 0.4, 0.5, 1, and 1.5 micrograms/kg) were added to the local anesthetic solution. Onset time, duration of anesthesia and analgesia, postoperative pain score, intake of analgesics, and adverse effects were recorded. The eight groups were comparable in terms of onset time, postoperative pain score, and analgesic requirement. The minimum dose of clonidine required to significantly prolong the duration of analgesia and anesthesia was, respectively, 0.1 and 0.5 microgram/kg. No side effects (sedation, drowsiness, bradycardia, arterial hypotension) were reported. We conclude that the dose of clonidine required to prolong significantly the duration of both anesthesia and analgesia after axillary brachial plexus blockade is 0.5 microgram/kg and that, at this dose, clonidine may be used without important reported side effects even in outpatients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0003-2999
pubmed:author
pubmed:issnType
Print
pubmed:volume
83
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1046-50
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed-meshheading:8895283-Adrenergic alpha-Agonists, pubmed-meshheading:8895283-Adult, pubmed-meshheading:8895283-Ambulatory Surgical Procedures, pubmed-meshheading:8895283-Analgesia, pubmed-meshheading:8895283-Analgesics, pubmed-meshheading:8895283-Anesthetics, Local, pubmed-meshheading:8895283-Axilla, pubmed-meshheading:8895283-Brachial Plexus, pubmed-meshheading:8895283-Bradycardia, pubmed-meshheading:8895283-Clonidine, pubmed-meshheading:8895283-Consciousness, pubmed-meshheading:8895283-Double-Blind Method, pubmed-meshheading:8895283-Female, pubmed-meshheading:8895283-Hand, pubmed-meshheading:8895283-Humans, pubmed-meshheading:8895283-Hypotension, pubmed-meshheading:8895283-Male, pubmed-meshheading:8895283-Mepivacaine, pubmed-meshheading:8895283-Middle Aged, pubmed-meshheading:8895283-Nerve Block, pubmed-meshheading:8895283-Pain, Postoperative, pubmed-meshheading:8895283-Pain Measurement, pubmed-meshheading:8895283-Sleep Stages, pubmed-meshheading:8895283-Surgical Procedures, Elective, pubmed-meshheading:8895283-Time Factors
pubmed:year
1996
pubmed:articleTitle
A minimum dose of clonidine added to mepivacaine prolongs the duration of anesthesia and analgesia after axillary brachial plexus block.
pubmed:affiliation
Department of Anesthesiology, Universisté Catholique de Louvain School of Medecine, St. Luc Hospital, Brussels, Belgium.
pubmed:publicationType
Journal Article, Clinical Trial, Comparative Study, Randomized Controlled Trial