Comparison of Dexmedetomidine and Fentanyl as Adjuvants to Bupivacaine for Ultrasound-Guided Supraclavicular Brachial Plexus Block: A Randomized Controlled Trial
Keywords:
Brachial Plexus Block, Bupivacaine, Dexmedetomidine, Fentanyl, Post-Operative Analgesia, Supraclavicular Block, Ultrasound GuidanceAbstract
Background: Adjuvants added to local anaesthetics in supraclavicular brachial plexus block hastenthe onset and prolong the duration of sensory–motor blockade and post-operative analgesia.Dexmedetomidine, a selective α₂-adrenoceptor agonist, and fentanyl, a lipophilic μ-opioid receptoragonist, are both used perineurally, but head-to-head data under real-time ultrasound guidance remain limited.
References
1. Winnie AP. Interscalene brachial plexus block. Anesth Analg. 1970;49(3):455-66.
2. Neal JM, Gerancher JC, Hebl JR, Ilfeld BM, McCartney CJL, Franco CD, et al. Upper extremity regional anesthesia: essentials of our current understanding, 2008. Reg Anesth Pain Med. 2009;34(2):134-70.




