Journal of Clinical Anesthesia
Volume 22, Issue 5 , Pages 324-328 , August 2010

Intravenous regional anesthesia using lidocaine and neostigmine for upper limb surgery

  • Divya Sethi, MD, DNB (Resident Anesthesiologist)

      Affiliations

    • Corresponding Author InformationCorresponding author. A-2B/118-B, Paschim Vihar, New Delhi – 110063, India.
  • ,
  • Rama Wason, MD (Professor of Anesthesia)

Received 19 April 2008 ,Revised 24 September 2009 ,Accepted 26 September 2009.

References 

  1. Brown EM, McGriff JT, Malinowski RW. Intravenous regional anaesthesia (Bier block): review of 20 years' experience. Can J Anaesth. 1989;36(3 Pt 1):307–310
  2. Chan VW, Peng PW, Kaszas Z, et al. A comparative study of general anesthesia, intravenous regional anesthesia, and axillary block for outpatient hand surgery: clinical outcome and cost analysis. Anesth Analg. 2001;93:1181–1184
  3. Choyce A, Peng P. A systematic review of adjuncts for intravenous regional anesthesia for surgical procedures. Can J Anaesth. 2002;49:32–45
  4. Habib AS, Gan TJ. Use of neostigmine in the management of acute postoperative pain and labour pain: a review. CNS Drugs. 2006;20:821–839
  5. Lauretti GR, Reis MP. Postoperative analgesia and antiemetic efficacy after subarachnoid neostigmine in orthopedic surgery. Reg Anesth. 1997;22:337–342
  6. Klamt JG, Slullitel A, Garcia IV, Prado WA. Postoperative analgesic effect of intrathecal neostigmine and its influence on spinal anaesthesia. Anaesthesia. 1997;52:547–551
  7. Roelants F. The use of neuraxial adjuvant drugs (neostigmine, clonidine) in obstetrics. Curr Opin Anaesthesiol. 2006;19:233–237
  8. Nakayama M, Ichinose H, Nakabayashi K, Satoh O, Yamamoto S, Namiki A. Analgesic effect of epidural neostigmine after abdominal hysterectomy. J Clin Anesth. 2001;13:86–89
  9. Chia YY, Chang TH, Liu K, Chang HC, Ko NH, Wang YM. The efficacy of thoracic epidural neostigmine infusion after thoracotomy. Anesth Analg. 2006;102:201–208
  10. Lauretti GR, de Oliveira R, Perez MV, Paccola CJ. Postoperative analgesia by intraarticular and epidural neostigmine following knee surgery. J Clin Anesth. 2000;12:444–448
  11. Abdulatif M, El-Sanabary M. Caudal neostigmine, bupivacaine, and their combination for postoperative pain management after hypospadias surgery in children. Anesth Analg. 2002;95:1215–1218
  12. Mahajan R, Grover VK, Chari P. Caudal neostigmine with bupivacaine produces a dose-independent analgesic effect in children. Can J Anaesth. 2004;51:702–706
  13. Omais M, Lauretti GR, Paccola CA. Epidural morphine and neostigmine for postoperative analgesia after orthopedic surgery. Anesth Analg. 2002;95:1698–1701
  14. Yang LC, Chen LM, Wang CJ, Buerkle H. Postoperative analgesia by intra-articular neostigmine in patients undergoing knee arthroscopy. Anesthesiology. 1998;88:334–339
  15. Bone HG, Van Aken H, Booke M, Bürkle H. Enhancement of axillary brachial plexus block anesthesia by coadministration of neostigmine. Reg Anesth Pain Med. 1999;24:405–410
  16. Van Elstraete AC, Pastureau F, Lebrun T, Mehdaoui H. Neostigmine added to lidocaine axillary plexus block for postoperative analgesia. Eur J Anaesthesiol. 2001;18:257–260
  17. Turan A, Karamanlyoglu B, Memis D, Kaya G, Pamukçu Z. Intravenous regional anesthesia using prilocaine and neostigmine. Anesth Analg. 2002;95:1419–1422
  18. McCartney CJ, Brill S, Rawson R, Sanandaji K, Iagounova A, Chan VW. No anesthetic or analgesic benefit of neostigmine 1 mg added to intravenous regional anesthesia with lidocaine 0.5% for hand surgery. Reg Anaesth Pain Med. 2003;28:414–417
  19. Day NS, Berti-Mattera LN, Eichberg J. Muscarinic cholinergic receptor-mediated phosphoinositide metabolism in peripheral nerve. J Neurochem. 1991;56:1905–1913
  20. Duarte ID, Lorenzetti BB, Ferreira SH. Peripheral analgesia and activation of the nitric oxide-cyclic GMP pathway. Eur J Pharmacol. 1990;186:289–293
  21. Ferreira SH, Nakamura M. I - Prostaglandin hyperalgesia, a cAMP/Ca2+ dependent process. Prostaglandins. 1979;18:179–190
  22. Dollery CT. Neostigmine. In:  Dollery CT editors. Therapeutic drugs. Vol. 2:London: Churchill Livingstone; 1999;p. N53–N56
  23. Saray A, Can B, Akbiyik F, Askar I. Ischaemia-reperfusion injury of the peripheral nerve: an experimental study. Microsurgery. 1999;19:374–380
  24. Buerkle H, Boschin M, Marcus MA, Brodner G, Wusten R, Van Aken H. Central and peripheral analgesia mediated by the acetylcholinesterase-inhibitor neostigmine in the rat inflamed knee joint model. Anesth Analg. 1998;86:1027–1032
  25. Hassan AH, Ableitner A, Stein C, Herz A. Inflammation of the rat paw enhances axonal transport of opioid receptors in the sciatic nerve and increases their density in the inflamed tissue. Neuroscience. 1993;55:185–195
  26. Antonijevic I, Mousa SA, Schäafer M, Stein C. Perineurial defect and peripheral opioid analgesia in inflammation. J Neurosci. 1995;15(1 Pt 1):165–172
  27. Bouaziz H, Gentili ME, Girard F, et al. Lack of peripheral analgesia mediated by intraplantar administration of neostigmine in carrageenan-injected rats. Eur J Anaesthesiol. 2001;18:303–305
  28. Chiou-Tan FY, Chiou GC. Contribution of circulating acetylcholine to sensory nerve conduction augmentation. Life Sci. 2000;66:1509–1518
  29. Stoelting RK. Anticholinesterase drugs and cholinergic agonists. In:  Stoelting RK editors. Pharmacology and physiology in anesthetic practice. 2nd ed. Philadelphia: J.B. Lippincott Co; 1991;p. 226–241
  30. Yost CS, Maestrone E. Clinical concentrations of edrophonium enhance desensitization of the nicotinic acetylcholine receptor. Anesth Analg. 1994;78:520–526
  31. Gentili M, Bernard JM, Bonnet F. Adding clonidine to lidocaine for intravenous regional anesthesia prevents tourniquet pain. Anesth Analg. 1999;88:1327–1330
  32. Lurie SD, Reuben SS, Gibson CS, DeLuca PA, Maciolek HA. Effect of clonidine on upper extremity tourniquet pain in healthy volunteers. Reg Anesth Pain Med. 2000;25:502–505

 Supported by the Department of Anesthesia and Intensive Care, Safdarjang Hospital and V.M.M.C, New Delhi – 110029, India, only.

PII: S0952-8180(10)00139-X

doi: 10.1016/j.jclinane.2009.09.005

Journal of Clinical Anesthesia
Volume 22, Issue 5 , Pages 324-328 , August 2010