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Effect of Dexmedetomidine–Ropivacaine Block on Flap Perfusion & Satisfaction After Hand Flap Surgery
July 2025
Effect of Dexmedetomidine–Ropivacaine Block on Flap Perfusion & Satisfaction After Hand Flap Surgery
Study Type:Therapy
OE Level Evidence:1
Journal Level of Evidence:1
Effect of dexmedetomidine combined with ropivacaine block on flap blood flow and patient satisfaction after flap transfer for hand trauma: a randomized controlled trial.
J Hand Surg Eur Vol . 2025 Apr;50(4):523-530.Did you know you're eligible to earn 0.5 CME credits for reading this report? Click Here
Synopsis
Sixty-six patients undergoing anterolateral thigh free flap transfer for hand trauma were randomized to receive either intermittent 1.0 mg/mL dexmedetomidine + 0.125% ropivacaine (n=29) or 0.2% ropivacaine alone (n=31) via continuous infraclavicular brachial plexus block. The primary outcome was flap blood flow parameters, including peak systolic and diastolic velocities, resistance index, and art...
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