A prospective observational study on incidences of ipsilateral hemidiaphragmatic paresis following various approach of brachial plexus block.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- incidences of diaphragmatic paresis
研究概览
简要总结
being in a tertiary care hospital many trauma cases of upper limb are recorded . Most upperlimb surgeries are done under brachial plexus block as it provides anaesthsia along with postoperative analgesia with out the need of airway manipulation but phrenic nerve supplying being inclose proximity with brachial plexus gets paralysed causing ipsilateral hemidiaphragmatic pariesis. This leads to decrease in saturation and peak flow rate. Primary aim is to determine incidences of ipsilateral hemidiaphragmatic paralysis following brachail plexus block and its severity.It is measured by assessing peak flow rate and ultrasonograhic movement of diaphragm before and 30 minutes after block ,along with calculating respiratory rate and drop in saturation.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 99.00 Year(s)（—）
- 性别
- All
入选标准
- •patient who will undergo brachial plexus block for upper limb surgery.
排除标准
- •1.patient not giving consent.
- •2.patient who are unable to perform PEFR(peak expiratory flow rate) 3.patient with diaphragmatic pathology.
结局指标
主要结局
incidences of diaphragmatic paresis
时间窗: will record the data at two points before the brachial plexus block and 30 mintues after the block with peak flow meter and ultrasound
次要结局
- severity of diaphragmatic paresis and reduction in spo2 and peak expiratory flow rate(will record the data at two points before the brachial plexus block and 30 mintues after the block with peak flow meter and ultrasound)
研究者
Dr Zeel Jariwala
New Civil Hospital,Surat