An ultra-low dose of naloxone added to lidocaine or lidocaine-fentanyl mixture prolongs axillary brachial plexus blockade

Anesthesia and Analgesia

Volumn 109, Issue 5, 2009, Pages 1679-1683

  Movafegh, Ali ^a   Nouralishahi, Behrang ^a   Sadeghi, Mustafa ^a   Nabavian, Omid ^a  

^a TEHRAN UNIVERSITY OF MEDICAL SCIENCES   (Iran)

Author keywords

[No Author keywords available]

Indexed keywords

FENTANYL; ISOTONIC SOLUTION; LIDOCAINE; NALOXONE; SODIUM CHLORIDE; LOCAL ANESTHETIC AGENT; NARCOTIC ANALGESIC AGENT; NARCOTIC ANTAGONIST;

ADULT; ARTICLE; BRACHIAL PLEXUS ANESTHESIA; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DOUBLE BLIND PROCEDURE; ELECTIVE SURGERY; FEMALE; HUMAN; LOW DRUG DOSE; MAJOR CLINICAL STUDY; MALE; MOTOR PERFORMANCE; ORTHOPEDIC SURGERY; PARALYSIS; POSTOPERATIVE NAUSEA AND VOMITING; POSTOPERATIVE PAIN; PRIORITY JOURNAL; PROSPECTIVE STUDY; PRURITUS; RANDOMIZED CONTROLLED TRIAL; STIMULATION; AXILLA; BRACHIAL PLEXUS; CHEMICALLY INDUCED DISORDER; COMPARATIVE STUDY; CONVALESCENCE; DRUG COMBINATION; DRUG EFFECT; FOREARM; INNERVATION; METHODOLOGY; MIDDLE AGED; NERVE BLOCK; PAIN ASSESSMENT; PAIN THRESHOLD; TIME; TREATMENT OUTCOME;

ADULT; ANALGESICS, OPIOID; ANESTHETICS, LOCAL; AXILLA; BRACHIAL PLEXUS; DOUBLE-BLIND METHOD; DRUG COMBINATIONS; FEMALE; FENTANYL; FOREARM; HUMANS; LIDOCAINE; MALE; MIDDLE AGED; NALOXONE; NARCOTIC ANTAGONISTS; NERVE BLOCK; PAIN MEASUREMENT; PAIN THRESHOLD; PAIN, POSTOPERATIVE; POSTOPERATIVE NAUSEA AND VOMITING; PROSPECTIVE STUDIES; PRURITUS; RECOVERY OF FUNCTION; SURGICAL PROCEDURES, ELECTIVE; TIME FACTORS; TREATMENT OUTCOME; YOUNG ADULT;

EID: 70350731292     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/ANE.0b013e3181b9e904     Document Type: Article

References (27)

1. Movafegh A, Razazian M, Hajimohamadi F, Meysamie A. Dexamethasone added to lidocaine prolongs axillary brachial plexus blockade. Anesth Analg 2006;102:263-267
2. Narang S, Dali JS, Agarwal M, Garg R. Evaluation of the efficacy of magnesium sulphate as an adjuvant to lignocaine for intravenous regional anaesthesia for upper limb surgery. Anaesth Intensive Care 2008;36:840-844
3. Alayurt S, Memis D, Pamukcu Z. The addition of sufentanil, tramadol or clonidine to lignocaine for intravenous regional anaesthesia. Anaesth Intensive Care 2004;32:22-27
4. Sen S, Ugur B, Aydin ON, Ogurlu M, Gursoy F, Savk O. The analgesic effect of nitroglycerin added to lidocaine on intravenous regional anesthesia. Anesth Analg 2006;102:916-920 (Pubitemid 43306421)
5. Picard PR, Tramer MR, McQuary MG, Moore RA. Analgesic efficacy of peripheral opioids (all except intra-articular): a qualitative systematic review of randomised controlled trials. Pain 1997;72:309-318
6. Crain SM, Shen KF. Antagonists of excitatory opioid receptor functions enhance morphine's analgesic potency and attenuate opioid tolerance/dependence liability. Pain 2000;84:121-131
7. Cole DJ, Drummond JC, Shapiro HM, Hertzog RE, Brauer FS. The effect of fentanyl anesthesia and intrathecal naloxone on neurologic outcome following spinal cord injury in the rat. Anesthesiology 1989;71:426-430
8. Sinz EH, Kofke WA, Garman RH. Phenytoin, midazolam, and naloxone protect against fentanyl-induced brain damage in rats. Anesth Analg 2000;91:1443-1449
9. Lee J, Shim JY, Choi JH, Kim ES, Kwon OK, Moon DE, Choi JH, Bishop MJ. Epidural naloxone reduces intestinal hypomotility but not analgesia of epidural morphine. Can J Anaesth 2001;48:54-58
10. Choi JH, Lee J, Choi JH, Bishop MJ. Epidural naloxone reduces pruritus and nausea without affecting analgesia by epidural morphine in bupivacaine. Can J Anaesth 2000;47:33-37
11. Kim MK, Nam SB, Cho MJ, Shin YS. Epidural naloxone reduces postoperative nausea and vomiting in patients receiving epidural sufentanil for postoperative analgesia. Br J Anaesth 2007;99:270-275
12. Jeon Y, Hwang J, Kang J, Han S, Rhee K, Oh Y. Effects of epidural naloxone on pruritus induced by epidural morphine: a randomized controlled trial. Int J Obstet Anesth 2005;14:22-25
13. Kim ES, Lee J, Choi JH. Optimal dose range of epidural naloxone to reduce nausea in patients receiving epidural morphine. Can J Anaesth 2004;51:1048-1049
14. Okutomi T, Saito M, Mochizuki J, Amano K. Prophylactic epidural naloxone reduces the incidence and severity of neuraxial fentanyl-induced pruritus during labour analgesia in primiparous parturients. Can J Anaesth 2003;50:961-962
15. Kakinohana M, Marsala M, Carter C, Davison JK, Yaksh TL. Neuraxial morphine may trigger transient motor dysfunction after a noninjurious interval of spinal cord ischemia: a clinical and experimental study. Anesthesiology 2003;98:862-870
16. Blaise G. Should we use naloxone epidurally? Can J Anaesth 2003;50:875-878
17. Hamann S, Sloan PA, Witt W. Low-dose intrathecal naloxone to enhance intrathecal morphine analgesia: a case report. J Opioid Manag 2008;4:251-254
18. Spencer SL, Francis VS. Continuous plexus and peripheral nerve blocks for postoperative analgesia. Anesth Analg 2003;96:263-272
19. Murphy DB, McCartney CJ, Chan VW. Novel analgesic adjuncts for brachial plexus block: a systematic review. Anesth Analg 2000;90:1122-1128
20. Levine JD, Gordon NC. Method of administration determines the effect of naloxone on pain. Brain Res 1986;365:377-378
21. Woolf CJ. Analgesia and hyperalgesia produced in the rat by intrathecal naloxone. Brain Res 1980;189:593-597
22. Wang HY, Friedman E, Olmstead MC, Burns LH. Ultra-lowdose naloxone suppresses opioid tolerance, dependence and associated changes in mu opioid receptor-G protein coupling and Gbetagamma signaling. Neuroscience 2005;135:247-261
23. Levine JD, Gordon NC, Fields HL. Naloxone dose dependently produces analgesia and hyperalgesia in postoperative pain. Nature 1979;278:740-741
24. Gan TJ, Ginsberg B, Glass PS, Fortney J, Jhaveri R, Perno R. Opioid-sparing effects of a low-dose infusion of naloxone in patient-administered morphine sulfate. Anesthesiology 1997;87: 1075-1081
25. Sadeghi A, Movafegh A, Nooralishahi B. The effect of an intravenous bolus of ultra-low-dose naloxone on intraoperative sedation, post operative pain intensity and morphine consumption in cesarean section patients under spinal anesthesia. RJBS 2008;10:1223-1226
26. Kim MK, Nam SB, Cho MJ, Shin YS. Epidural naloxone reduces postoperative nausea and vomiting in patients receiving epidural sufentanil for postoperative analgesia. Br J Anaesth 2007;99:270-275
27. Bijur PE, Schechter C, Esses D, Chang AK, Gallagher EJ. Intravenous bolus of ultra-low-dose naloxone added to morphine does not enhance analgesia in emergency department patients. J Pain 2006;7:75-81