Dose-finding methodology for peripheral nerve blocks

Reg Anesth Pain Med. 2014 Nov-Dec;39(6):550-5. doi: 10.1097/AAP.0000000000000157.

Abstract

Dose-finding studies enable the successful conduct of peripheral nerve blocks by ensuring the administration of appropriate doses of local anesthetic. However, the optimal dose-finding methodology remains ambiguous. In this research methodology article, we set out to review the basic aspects pertaining to dose-response curves (graded vs quantal), the pharmacodynamic indices required by dose-finding studies, the properties of different dose-finding methods (sigmoidal dose-response curve analysis, Dixon-Mood method, Biased Coin Design, and Bayesian analysis), as well as strategies and recommendations for future research.

Publication types

  • Review

MeSH terms

  • Animals
  • Bayes Theorem
  • Dose-Response Relationship, Drug
  • Drug Dosage Calculations*
  • Humans
  • Nerve Block / methods*
  • Peripheral Nerves / drug effects*
  • Research Design*