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Abstract
Background and aims Using one shot of 40 ml of a mixture of bupivicaine 0.5%–20 ml with lidocaine 2%–20 ml with dexamethasone 8 mg iv, the aim is to have a good analgesia for ambulatory orthopedic surgery for humerus fracture.
Methods About 10 patients with an age between 18–68 years who had a non-complicated humerus fracture. A pre-medication of midazolam 1 mg iv with fentanyl 50 mcg iv was given before doing the block. Supraclavicular block was done with a mixture of bupivicaine 0.5%-20 ml and lidocaine 2%–20 ml with dexamethasone 8 mg given intravenously The operation consists of introducing an intramedullary implant or nailing.
Results All patients were left on spontaneous respiration without adding any anesthetic agent The operations were done within 20 to 40 minutes Then all patients were in the recovery room for 15 min with an EVA <40 then transferred to the wards. After 2 hours, they left for home with no pain.
Conclusions Supraclavicular block with a mixture of bupivicaine 0.5%–20 ml and lidocaine 2%-20 ml with dexamethasone 8 mg iv gives a good anesthetic and analgesic effect for ambulatory orthopedic surgery for humerus fracture.