An Evaluation of the Effectiveness of 75 MCG/KG of Preservative Free Morphine and 1.5% Mepivacaine with 1:200,000 Epinephrine into the Brachial Plexus Sheath of Patients Receiving Surgery to the Hand Forearm Proximal Arm or Shoulder in Affecting the Onset of Postoperative Pain When Compared to 1.5% Mepivacaine with 1:200,000 Epinephrine
Abstract
Brachial plexus anesthesia is an effective anesthetic technique used to provide reliable anesthesia for a variety of surgical procedures performed on the hand, forearm, proximal arm, and shoulder. In several clinical trials, investigators demonstrated that the success rates of the most frequently used approaches (axillary, interscalene, supraclavicular, and infraclavicular) ranged from 70% to 100% (Urmey, 1996). Each of these approaches has distinct advantages and disadvantages when compared to general anesthesia and to each other. In addition, the duration of anesthesia is dependent on the duration of action of the local anesthetics injected into the brachial plexus sheath. Methods aimed at improving postoperative analgesia provided by brachial plexus anesthesia offer the possibility of improved postoperative analgesia with decreased frequency of side effects and complications. One method is the addition of an opioid to the local anesthetic solution to delay the onset of postoperative surgical pain (Bourke & Furman, 1993).
Document Details
- Document Type
- Technical Report
- Publication Date
- Nov 01, 1999
- Accession Number
- ADA427061
Entities
People
- Craig Budinich
- Debra Clise
- Laure Kline
- Lesa Rathjen
- Timothy Huffman
Organizations
- University of Texas Health Science Center at Houston