Gây tê đám rối thần kinh cánh tay đường gian cơ bậc thang bằng Lidocain phối hợp với Dexamethason trong phẫu thuật chi trên

Through studying interscalen brachial plexus anesthesia in upper limb surgies; in 80 patients divided into two groups: the first group (n=40): brachial plexus anesthesia with admixture of lidocaine 7mg/kg and dexamethasone 4mg and the second group (n=40): brachial plexus anesthesia with admixture of lidocaine 7mg/kg and adrenaline 150J.lg, the authors found: interscalen brachial plexus anesthesia in the first group had better results of anesthesia and postoperative analgesia than in the second group. Onset of the first group (8.30 + or - 1.28 min) was shorter than the second group (13.45 + or - 2.06 min) (p0,05). Duration of anesthesia and postoperative analgesia of the first group (174.87 + or - 11.06 min) was longer than the second group (87.75 + or - 17.13 min) (p0.05). Undesirable effect was only Claude Bernard Homer syndrome 5 percent in the first group and 2.5 percent in the second group (p0.05).