Fentanyl versus tramadol as a supraclavicular brachial plexus blockade (BPB)
Hayder Saad Kamel , Mohammad Asi Jabbar, Mohammad Salem Yahya
In the anesthetists regarding the utilize of opioids as adjuvants in brachial plexus blockade (BPB) have low information. We compared between fentanyl versus tramadol as local anesthetic in
supraclavicular BPB. The study was conducted on 50 patients who were grouped to Group F: received 2 ml of fentanyl; and Group T: received 2 ml of tramadol. Data was collected for the onset and duration of nerve block. There was a significantly shorter time to the onset of sensory and motor nerve blockade (p = 0.01) in Group T compared to Group F. The time to first analgesic requests was significantly longer in the Group T compared to the Group F (p = 0.01). Tramadol in ultrasound-guided supraclavicular BPB produces a significantly prolonged analgesia with a shorter onset of nerve blockade.