Effect of Perineural Dexamethasone on the Duration of Supraclavicular Brachial Plexus Block for Anesthesia After Pediatric Hand/Wrist Surgery
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- first need of opiate
研究概览
简要总结
Effect of Perineural Dexamethasone on the Duration of Supraclavicular Brachial Plexus Block for Anesthesia After Pediatric Hand/Wrist Surgery
详细描述
This study is proposed to explore the effect of perineurial Dexamethasone on the duration of supraclavicular brachial plexus block for analgesia after pediatric ankle surgery.
After hand and wrist surgery, children need good analgesia. Peripheral nerve blocks have provided a safe, effective method to control early postoperative pain when symptoms are most severe.
The safety of local anesthesia is essential in children due to the much lower toxicity threshold of local anesthetics. An effective adjuvant, such as Dexamethasone, could allow for a higher dilution of local anesthetics while maintaining and enhancing their analgesic effect.
There is considerable research where intravenous and perineural dexamethasone use has been compared in adults. However, there is a massive lack of research regarding children.
In this study, investigators compare different doses of perineural Dexamethasone. Groups 2 and 3 have dexamethasone doses of 0.1mg/kg and 0.05mg/kg added to local anesthetic.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 3 Months 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •children scheduled for hand/wrist surgery
- •body weight > 5kg
排除标准
- •infection at the site of the regional blockade
- •coagulation disorders
- •immunodeficiency
- •ASA= or >4
- •steroid medication in regular use
研究组 & 干预措施
Placebo
0.2% ropivacaine for supraclavicular brachial plexus block
干预措施: Placebo (Drug)
0.1mg/kg Dexamethasone
0,1mg/kg dexamethasone added to 0.2% ropivacaine for supraclavicular brachial plexus block
干预措施: 0.1mg/kg Dexamethasone (Drug)
0,05mg/kg dexamethasone
0,05mg/kg dexamethasone added to 0.2% ropivacaine for supraclavicular brachial plexus block
干预措施: 0.05mg/kg Dexamethasone (Drug)
结局指标
主要结局
first need of opiate
时间窗: 48 hours
Time after surgery when the patient needs opiate for the first time
次要结局
- Opioid Consumption(48 hours)
- NLR(24 and 48 hours after surgery)
- Pain score(4 hours, 8 hours, 12 hours, 16 hours, 18 hours, 24 hours, 28 hours, 32 hours, 36 hours, 40 hours, 44 hours, 48 hours after surgery)
- Blood glucose(24 and 48 hours after surgery)
- PLR(24 and 48 hours after surgery)
- Mobilisation(4 hours, 8 hours, 12 hours, 16 hours, 18 hours, 24 hours, 28 hours, 32 hours, 36 hours, 40 hours, 44 hours, 48 hours after surgery)