Dexamethasone with bupivacaine increases duration of analgesia in ultrasound-guided interscalene brachial plexus blockade

European Journal of Anaesthesiology

Volumn 27, Issue 3, 2010, Pages 285-288

  Vieira, Peter A ^a   Pulai, Istvan ^a   Tsao, George C ^a   Manikantan, Poornachandran ^a   Kelle, Brunella ^a   Connelly, Neil Roy ^a  

^a BAYSTATE MEDICAL CENTER   (United States)

Author keywords

Ambulatory; Anaesthesia; Analgesia; Brachial plexus; Clonidine; Orthopaedic; Regional

Indexed keywords

ADRENALIN; BUPIVACAINE; CLONIDINE; DEXAMETHASONE; OPIATE; OXYCODONE; SODIUM CHLORIDE;

ADJUVANT THERAPY; ADULT; ANALGESIA; ANALGESIC ACTIVITY; ANESTHETIC RECOVERY; ARTICLE; BRACHIAL PLEXUS ANESTHESIA; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DEMOGRAPHY; DOUBLE BLIND PROCEDURE; DRUG DOSE COMPARISON; DRUG EFFECT; DRUG USE; FEMALE; HAND STRENGTH; HOSPITAL DISCHARGE; HUMAN; MAJOR CLINICAL STUDY; MALE; PAIN ASSESSMENT; PATIENT SATISFACTION; POSTOPERATIVE PAIN; POSTOPERATIVE PERIOD; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; SHOULDER ARTHROSCOPY;

ADULT; ANALGESIA; BRACHIAL PLEXUS; BUPIVACAINE; DEXAMETHASONE; DOUBLE-BLIND METHOD; DRUG THERAPY, COMBINATION; FEMALE; HUMANS; MALE; MIDDLE AGED; NERVE BLOCK; PAIN, POSTOPERATIVE; PROSPECTIVE STUDIES; TIME FACTORS; ULTRASONOGRAPHY, INTERVENTIONAL;

EID: 77952150262     PISSN: 02650215     EISSN: 13652346     Source Type: Journal    
DOI: 10.1097/EJA.0b013e3283350c38     Document Type: Article

References (22)

1. Fö rster JG, Rosenberg PH. Clinically useful adjuvants in regional anaesthesia. Curr Opin Anaesthesiol 2003; 16:477-486.
2. McCartney CJL, Duggan E, Apatu E. Should we add clonidine to local anesthetic for peripheral nerve blockade? A qualitative systematic review of the literature. Reg Anesth Pain Med 2007; 32:330-338.
3. Liu S, Carpenter RL, Chiu AA, et al. Epinephrine prolongs duration of subcutaneous infiltration of local anesthesia in a dose-related manner. Correlation with magnitude of vasoconstriction. Reg Anesth 1995; 20:378-384.
4. El Saied AH, Steyn MP, Ansermino JM. Clonidine prolongs the effect of ropivacaine for axillary brachial plexus blockade. Can J Anaesth 2000; 47:962-967.
5. Singelyn FJ, Dangoisse M, Bartholomee S, Gouverneur JM. Adding clonidine to mepivacaine prolongs the duration of anesthesia and analgesia after axillary brachial plexus block. Reg Anesth 1992; 17:148-150.
6. Hutschala D, Mascher H, Schmetterer L, et al. Clonidine added to bupivacaine enhances and prolongs analgesia after brachial plexus block via a local mechanism in healthy volunteers. Eur J Anaesthesiol 2004; 21:198-204.
7. Dräger C, Benziger D, Gao F, Berde CB. Prolonged intercostal nerve blockade in sheep using controlled-release of bupivacaine and dexamethasone from polymer microspheres. Anesthesiology 1998; 89:969-979.
8. Estebe JP, Le Corre P, Clément R, et al. Effect of dexamethasone on motor brachial plexus block with bupivacaine and with bupivacaine-loaded microspheres in a sheep model. Eur J Anaesthesiol 2003; 20:305-310.
9. Kopacz DJ, Lacouture PG, Wu D, et al. The dose response and effects of dexamethasone on bupivacaine microcapsules for intercostal blockade (T9 to T11) in healthy volunteers. Anesth Analg 2003; 96:576-582.
10. Holte K, Werner MU, Lacouture PG, Kehlet H. Dexamethasone prolongs local analgesia after subcutaneous infiltration of bupivacaine microcapsules in human volunteers. Anesthesiology 2002; 96:1331-1335.
11. Movafegh A, Razazian M, Hajimaohamadi F, Meysamie A. Dexamethasone added to lidocaine prolongs axillary brachial plexus blockade. Anesth Analg 2006; 102:263-267.
12. Bigat Z, Boztug N, Hadimioglu N, et al. Does dexamethasone improve the quality of intravenous regional anesthesia and analgesia? A randomized, controlled clinical study. Anesth Analg 2006; 102:605-609.
13. Stan T, Goodman EJ, Bravo-Fernandez C, Holbrook CR. Adding methylprednisolone to local anesthetic increases the duration of axillary block. Reg Anesth Pain Med 2004; 29:380-381. (Pubitemid 39055673)
14. Castillo J, Curley J, Hotz J, et al. Glucocorticoids prolong rat sciatic nerve blockade in vivo from bupivacaine microspheres. Anesthesiology 1996; 85:1157-1166.
15. Shrestha BR, Maharjan SK, Shrestha S, et al. Comparative study between tramadol and dexamethasone as an admixture to bupivacaine in supraclavicular brachial plexus block. J Nepal Med Assoc 2007; 46:158-164.
16. Marks R, Barlow JW, Funder JW. Steroid-induced vasoconstriction: glucocorticoid antagonist studies. J Clin Endocrinol Metab 1982; 54:1075-1077.
17. Seidenari S, Di Nardo A, Mantovani L, Giannetti A. Parallel intraindividual evaluation of the vasoconstrictory action and the antiallergic activity of topical corticosteroids. Exp Dermatol 1997; 6:75-80.
18. Abram SE, Marsala M, Yaksh TL. Analgesic and neurotoxic effects of intrathecal corticosteroids in rats. Anesthesiology 1994; 81:1198-1205.
19. Latham JM, Fraser RD, Moore RJ, et al. The pathologic effects of intrathecal betamethasone. Spine 1997; 22:1558-1562.
20. Sugita K, Kobayashi S, Yokoo A, Inoue T. Intrathecal steroid therapy for posttraumatic visual disturbance. Neurochirurgia (Stuttg) 1983; 26:112-117.
21. Frederick HA, Carter PR, Littler JW. Injection injuries to the median and ulnar nerves at the wrist. J Hand Surg Am 1992; 17:645-647.
22. Stahl S, Kaufman T. Ulnar nerve injury at the elbow after steroid injection for medial epicondylitis. J Hand Surg Br 1997; 22:69-70.