The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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The Effects of Postoperative Brachial Plexus Block Using $MgSO_4$ on the Postoperative Pain after Upper Extremity Surgery

  • Choi, In-Gyu (Department of Anesthesiology and Pain Medicine, Kwandong University College of Medicine) ;
  • Choi, Young-Soon (Department of Anesthesiology and Pain Medicine, Kwandong University College of Medicine) ;
  • Kim, Yong-Ho (Department of Anesthesiology and Pain Medicine, Kwandong University College of Medicine) ;
  • Min, Jin-Hye (Department of Anesthesiology and Pain Medicine, Kwandong University College of Medicine) ;
  • Chae, Young-Keun (Department of Anesthesiology and Pain Medicine, Kwandong University College of Medicine) ;
  • Lee, Yong-Kyung (Department of Anesthesiology and Pain Medicine, Kwandong University College of Medicine) ;
  • Ahn, So-Woon (Department of Anesthesiology and Pain Medicine, Kwandong University College of Medicine) ;
  • Kim, Young-Shin (Department of Anesthesiology and Pain Medicine, Kwandong University College of Medicine) ;
  • Lee, Aerena (Department of Anesthesiology and Pain Medicine, Kwandong University College of Medicine)
  • Received : 2011.05.03
  • Accepted : 2011.07.21
  • Published : 2011.09.01
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Abstract

Background: Although a brachial plexus block can be used to provide anesthesia and analgesia for upper extremity surgery, its effects using $MgSO_4$ on postoperative pain management have not been reported. The aim of this study was to evaluate brachial plexus block using $MgSO_4$ on postoperative analgesia. Methods: Thirty-eight patients who were scheduled to undergo upper extremity surgery were randomly allocated into two groups: patients receiving axillary brachial plexus block with 0.2% ropivacaine 20 ml and normal saline 2 ml (group S) or 0.2% ropivacaine 20 ml and $MgSO_4$ 200 mg (group M). Before extubation, the blocks were done and patient controlled analgesia was started, and then, the patients were transported to a postanesthetic care unit. The postoperative visual analogue scale (VAS), opioid consumption, and side effects were recorded. Results: The two groups were similar regarding the demographic variables and the duration of the surgery. No differences in VAS scores were observed between the two groups. There was no statistically significant difference in opioid consumption between the two groups. Nausea was observed in three patients for each group. Conclusions: Axillary brachial plexus block using $MgSO_4$ did not reduce the level of postoperative pain and opioid consumption.

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References

  1. Junger A, Klasen J, Benson M, Sciuk G, Hartmann B, Sticher J, et al. Factors determining length of stay of surgical day-case patients. Eur J Anaesthesiol 2001; 18: 314-21.
  2. Karakaya D, Buyukgoz F, Bariş S, Guldogus F, Tür A. Addition of fentanyl to bupivacaine prolongs anesthesia and analgesia in axillary brachial plexus block. Reg Anesth Pain Med 2001; 26: 434-8. https://doi.org/10.1097/00115550-200109000-00008
  3. Jamnig D, Kapral S, Urak G, Lehofer F, Likar R, Trampitsch E, et al. Addition of fentanyl to mepivacaine does not affect the duration of brachial plexus block. Acute Pain 2003; 5: 51-6. https://doi.org/10.1016/S1366-0071(03)00027-5
  4. Reuben SS, Reuben JP. Brachial plexus anesthesia with verapamil and/or morphine. Anesth Analg 2000; 91: 379-83.
  5. Gormley WP, Murray JM, Fee JP, Bower S. Effect of the addition of alfentanil to lignocaine during axillary brachial plexus anaesthesia. Br J Anaesth 1996; 76: 802-5. https://doi.org/10.1093/bja/76.6.802
  6. Kim TH. Clonidine added to lidocaine prolongs the duration of anesthesia and analgesia during brachial plexus block. J Korean Pain Soc 2001; 14: 41-5.
  7. Lee HS. Comparison of adding clonidine versus epinephrine into local anesthetics in brachial plexus block. J Korean Pain Soc 1994; 7: 205-10.
  8. Yang JH, Lee JJ, Hwang SM, Lim SY. The effect of fentanyl or epinephrine addition to ropivacaine in brachial plexus block. Korean J Anesthesiol 2004; 47: 655-9. https://doi.org/10.4097/kjae.2004.47.5.655
  9. Lee KY, Shim KD, Shim YH, Noh JS, Kang WC, Lee JS. Comparison between a fentanyl and clonidine admixture to lidocaine in a brachial plexus block. Korean J Anesthesiol 2003; 44: 500-6. https://doi.org/10.4097/kjae.2003.44.4.500
  10. Lee IH, Lee IO, Kong MH, Lee MK, Kim NS, Choi YS, et al. Clinical effects of ketamine on ropivacaine in brachial plexus blockade. Korean J Anesthesiol 2001; 40: 721-7. https://doi.org/10.4097/kjae.2001.40.6.721
  11. Kim DH, Sohn BK. The effect of clonidine added to lidocaine on the duration of anesthesia and analgesia after brachial plexus block. Korean J Anesthesiol 1998; 35: 479-83. https://doi.org/10.4097/kjae.1998.35.3.479
  12. Telci L, Esen F, Akcora D, Erden T, Canbolat AT, Akpir K. Evaluation of effects of magnesium sulphate in reducing intraoperative anaesthetic requirements. Br J Anaesth 2002; 89: 594-8. https://doi.org/10.1093/bja/aef238
  13. Singelyn FJ, Dangoisse M, Bartholomée S, Gouverneur JM. Adding clonidine to mepivacaine prolongs the duration of anesthesia and analgesia after axillary brachial plexus block. Reg Anesth 1992; 17: 148-50.
  14. Kapral S, Gollmann G, Waltl B, Likar R, Sladen RN, Weinstabl C, et al. Tramadol added to mepivacaine prolongs the duration of an axillary brachial plexus blockade. Anesth Analg 1999; 88: 853-6. https://doi.org/10.1213/00000539-199904000-00032
  15. Dube L, Granry JC. The therapeutic use of magnesium in anesthesiology, intensive care and emergency medicine: a review. Can J Anaesth 2003; 50: 732-46. https://doi.org/10.1007/BF03018719
  16. Fawcett WJ, Haxby EJ, Male DA. Magnesium: physiology and pharmacology. Br J Anaesth 1999; 83: 302-20. https://doi.org/10.1093/bja/83.2.302
  17. Schulz-Stübner S, Wettmann G, Reyle-Hahn SM, Rossaint R. Magnesium as part of balanced general anaesthesia with propofol, remifentanil and mivacurium: a double-blind, randomized prospective study in 50 patients. Eur J Anaesthesiol 2001; 18: 723-9. https://doi.org/10.1046/j.1365-2346.2001.00921.x
  18. McQuay HJ, Dickenson AH. Implications of nervous system plasticity for pain management. Anaesthesia 1990; 45: 101-2. https://doi.org/10.1111/j.1365-2044.1990.tb14270.x
  19. Woolf CJ, Chong MS. Preemptive analgesia--treating postoperative pain by preventing the establishment of central sensitization. Anesth Analg 1993; 77: 362-79. https://doi.org/10.1213/00000539-199377020-00026
  20. Lee C, Jang MS, Song YK, O S, Moon SY, Kang DB, et al. The effect of magnesium sulfate on postoperative pain in patients undergoing major abdominal surgery under remifentanil-based anesthesia. Korean J Anesthesiol 2008; 55: 286-90. https://doi.org/10.4097/kjae.2008.55.3.286
  21. Ko SH, Jang YI, Lee JR, Han YJ, Choe H. Effects of preincisional administration of magnesium sulfate on postoperative pain and recovery of pulmonary function in patients undergoing gastrectomy. J Korean Pain Soc 2000; 13: 31-7.
  22. Gunduz A, Bilir A, Gulec S. Magnesium added to prilocaine prolongs the duration of axillary plexus block. Reg Anesth Pain Med 2006; 31: 233-6. https://doi.org/10.1097/00115550-200605000-00010
  23. Goyal P, Jaiswal R, Hooda S, Goyal R, Lal J. Role of magnesium sulphate for brachial plexus analgesia. Internet J Anesthesiol [serial on the Internet]. 2009 Jul [2009 Jul 15]. Avaiable at http://www.ispub.com/journal/the_internet_journal_ of_anesthesiology/volume_21_number_1/article/role-of-ma gnesium-sulphate-for-brachial-plexus-analgesia.html.

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