Regional anesthesia

The ED95 of lidocaine and prilocaine for ultrasound-guided brachial plexus blocks for surgical anaesthesia: a randomised controlled clinical trial

BJA OpenPublished Randomised controlled trial

Authors' conclusion

We achieved a 95% success rate for axillary blocks using lidocaine (1% and 2%) with adrenaline within our dosing limits.

Study context

Population
Patients receiving ultrasound-guided axillary or supraclavicular brachial plexus blocks for surgical anaesthesia
Participants
41 / 40 / 31 / 42
Comparison
Lidocaine 1% vs 2% with adrenaline (axillary); prilocaine 1% vs lidocaine 1% with adrenaline (supraclavicular)
  • An = 41
  • Bn = 40
  • Cn = 31
  • Dn = 42
Primary endpoint
Loss of cold and pin-prick sensations in median, musculocutaneous, radial and ulnar nerve distributions
Methodological detailsdouble-blind, prospective, dose-finding, modified continual reassessment method
  • Double-blind
  • Prospective
  • Dose-finding
  • Modified continual reassessment method

Primary result

As reported in the abstract

ED95

Original publication

The ED95 of lidocaine and prilocaine for ultrasound-guided brachial plexus blocks for surgical anaesthesia: a randomised controlled clinical trial. BJA Open. Published 14 March 2025. doi:10.1016/j.bjao.2025.100385

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