The successful brachial plexus block can be achieved to a great extent by Suitable approach Selection of drugs and adjuvants. By adding Midazolam 2mg and Butorphanol 2mg to undiluted Lidocaine 2% with adrenaline. We relieve the anxiety of the patient with Midazolam. Butorphanol gives good sedation and additional analgesia. Both Butorphanol and Midazolam are proved to have peripheral neural receptors. Midazolam is a good anti-convulsant.
So, by adding these 3, the chances of success reach close to 100 %. Complications like convulsions can be minimized. Patient satisfaction, surgeon's comfort are very good. I did a series of 2000 blocks over 7 years in my private practice, with this combination. I did a series of 2000 blocks over 7 years in my private practice, with this combination. Share your experience.
