SciELO - Scientific Electronic Library Online

vol.43 issue2Multimodal analgesia with ketamine, dipyrone and tramadol association in emergency surgeryQuality of life related to health in college students author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Revista Cubana de Medicina Militar

Print version ISSN 0138-6557


GARCIA GARCIA, Gerardo Luis; GARCIA CEBALLOS, Erlinda; MELIS SUAREZ, Aneite  and  CABANA SALAZAR, José Antonio. Continuous brachial plexus block in immediate postoperative. Rev Cub Med Mil [online]. 2014, vol.43, n.2, pp.148-156. ISSN 0138-6557.

Objective: to evaluate the immediate postoperative period in surgical patients with traumatic injuries of the upper limb who have undertaken two methods of anesthesia-analgesia. Methods: 240 patients were studied, all ASA I-II-III according to the classification of the American Society of Anesthesiologists for physical state. They were divided into two equal groups. Group G had general endotracheal anesthesia and analgesia with fentanyl plus dipyrone 1.2 g IM every 6 h, and group B who had regional anesthesia techniques for continuous brachial plexus block with 100 mg of bupivacaine and regional analgesia with equal local anesthetic every 6 h. Results: respiratory complications occurred only in group G (p= 0.01), cardiovascular complications were observed 5.3 times more in G group (p= 0.000). Nausea and vomiting were expressed in more than half of patients (55 %) in group G and only in six (5 %) from group B (p= 0.000). Urine retention and oliguria were observed in three and four patients respectively, all male from group G (p= 0.000). Hyperglycemia tendency appeared in group G in 27 patients (22.5 %) and in only five (4.2 %) from group B (p= 0.000). Discomfort by manipulating the upper airway occurred in 79 patients (65.8 %) from group G; nuisance due to the catheter was only referred in 16 patients (13.3 %) from group B. 24 hours after surgery, Group G had 69 patients (57.5 %) in unsatisfactory analgesia level (p= 0.01). Conclusions: the method of regional anesthesia-analgesia by continuous brachial plexus block had lower incidence of complications in the immediate postoperative period and better quality of analgesia.

Keywords : brachial plexus blockade; postoperative.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )