Adding metoclopramide to lidocaine for intravenous regional anesthesia in trauma patients
Background: Metoclopromide have local anesthetic properties. The main object of performing the present study was to evaluate the analgesic effect of metoclopromide 10 mg when added to lidocaine for intravenous regional anesthesia (IVRA) of upper extremities in trauma patients. Materials and Methods...
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Wolters Kluwer Medknow Publications
2014-01-01
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doaj-3d91afb6f75041cd9aad2da7e13dac1c2020-11-24T22:20:26ZengWolters Kluwer Medknow PublicationsAdvanced Biomedical Research2277-91752277-91752014-01-0131454510.4103/2277-9175.125753Adding metoclopramide to lidocaine for intravenous regional anesthesia in trauma patientsMohammadreza SafaviAzim HonarmandAlireza YazdanpanahBackground: Metoclopromide have local anesthetic properties. The main object of performing the present study was to evaluate the analgesic effect of metoclopromide 10 mg when added to lidocaine for intravenous regional anesthesia (IVRA) of upper extremities in trauma patients. Materials and Methods: Ninety patients undergoing upper limb producer were randomly allocated to the three groups to receive 3 mg/kg 2% lidocaine diluted with saline to a total dose of 40 ml (Group L, n = 30) or 10 mg metoclopromide plus 3 mg/kg 2% lidocaine diluted with saline to a total dose of 40 ml (group LM, n = 30 ) or 3 mg/kg 2% lidocaine diluted with saline to a total dose of 40 ml plus 10 mg metoclopromide intravenously (Group IM, n = 30). Results: Our study showed that the onset times for sensory and motor block were significantly shorter in Group LM compared with Group L and Group IM (4.5 ± 0.7 vs. 5.0 ± 0.7 and 5.0 ± 0.6, respectively, P = 0.006 for sensory block; 6.3 ± 0.7 vs. 5.1 ± 0.9 and 5.9 ± 0.6 respectively, P = 0.000 for motor block). The postoperative VAS scores were significantly less at 1, 5, 10, 15, and 30 minutes after tourniquet release in Group LM compared with Group L and Group IM ( P < 0.05). Conclusion: The results of our study showed that adding 10 mg metoclopromide to lidocaine for IVRG in trauma patients reduced intraoperative and postoperative analgesic use till 24 hours and improve quality of anesthesia.http://www.advbiores.net/article.asp?issn=2277-9175;year=2014;volume=3;issue=1;spage=45;epage=45;aulast=SafaviAnesthetic techniquesintravenous regional anesthesia lidocainemetoclopromidepostoperative pain |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mohammadreza Safavi Azim Honarmand Alireza Yazdanpanah |
spellingShingle |
Mohammadreza Safavi Azim Honarmand Alireza Yazdanpanah Adding metoclopramide to lidocaine for intravenous regional anesthesia in trauma patients Advanced Biomedical Research Anesthetic techniques intravenous regional anesthesia lidocaine metoclopromide postoperative pain |
author_facet |
Mohammadreza Safavi Azim Honarmand Alireza Yazdanpanah |
author_sort |
Mohammadreza Safavi |
title |
Adding metoclopramide to lidocaine for intravenous regional anesthesia in trauma patients |
title_short |
Adding metoclopramide to lidocaine for intravenous regional anesthesia in trauma patients |
title_full |
Adding metoclopramide to lidocaine for intravenous regional anesthesia in trauma patients |
title_fullStr |
Adding metoclopramide to lidocaine for intravenous regional anesthesia in trauma patients |
title_full_unstemmed |
Adding metoclopramide to lidocaine for intravenous regional anesthesia in trauma patients |
title_sort |
adding metoclopramide to lidocaine for intravenous regional anesthesia in trauma patients |
publisher |
Wolters Kluwer Medknow Publications |
series |
Advanced Biomedical Research |
issn |
2277-9175 2277-9175 |
publishDate |
2014-01-01 |
description |
Background: Metoclopromide have local anesthetic properties. The main object of performing the present study was to evaluate the analgesic effect of metoclopromide 10 mg when added to lidocaine for intravenous regional anesthesia (IVRA) of upper extremities in trauma patients.
Materials and Methods: Ninety patients undergoing upper limb producer were randomly allocated to the three groups to receive 3 mg/kg 2% lidocaine diluted with saline to a total dose of 40 ml (Group L, n = 30) or 10 mg metoclopromide plus 3 mg/kg 2% lidocaine diluted with saline to a total dose of 40 ml (group LM, n = 30 ) or 3 mg/kg 2% lidocaine diluted with saline to a total dose of 40 ml plus 10 mg metoclopromide intravenously (Group IM, n = 30).
Results: Our study showed that the onset times for sensory and motor block were significantly shorter in Group LM compared with Group L and Group IM (4.5 ± 0.7 vs. 5.0 ± 0.7 and 5.0 ± 0.6, respectively, P = 0.006 for sensory block; 6.3 ± 0.7 vs. 5.1 ± 0.9 and 5.9 ± 0.6 respectively, P = 0.000 for motor block). The postoperative VAS scores were significantly less at 1, 5, 10, 15, and 30 minutes after tourniquet release in Group LM compared with Group L and Group IM ( P < 0.05).
Conclusion: The results of our study showed that adding 10 mg metoclopromide to lidocaine for IVRG in trauma patients reduced intraoperative and postoperative analgesic use till 24 hours and improve quality of anesthesia. |
topic |
Anesthetic techniques intravenous regional anesthesia lidocaine metoclopromide postoperative pain |
url |
http://www.advbiores.net/article.asp?issn=2277-9175;year=2014;volume=3;issue=1;spage=45;epage=45;aulast=Safavi |
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