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Comparison of Classical Ultrasound Screen and Combined Wearable Display in Interscalene Nerve Blocks

Not Applicable
Recruiting
Conditions
Nerve Block
Interventions
Device: Ultrasound guided
Device: Ultrasound guided smart glasses assisted
Registration Number
NCT05409807
Lead Sponsor
Abant Izzet Baysal University
Brief Summary

This study hypothesizes that the use of smart glasses (Head-mounted display Vufine, model VUF-110, Vufine Inc., China)) improves the hand-eye coordination and the first-attempt success rate of ultrasound guided interscalene nerve block. This is a single-center, randomized, controlled study comparing the real-time ultrasound image through smart glasses (intervention group) or the ultrasound machine's monitor (control group) during the interscalene block.

Detailed Description

Peripheral nerve blocks, which help patients to recover early after surgery, are performed safely and successfully under ultrasound guidance. Ultrasound-guided peripheral nerve blocks provide sufficient anesthesia for the operation alone or can be applied in combination with general anesthesia and provide postoperative analgesia.

Investigators encounter new developments in health technologies almost every day. With the development of smart technologies and the spread of wearable devices, their use in the field of health is increasing day by day.

Hand-eye coordination is an important skill, especially in the use of ultrasound. The inserted needle should be followed during the procedure in the appropriate area and safely delivered to the desired area.

Patients will be divided into either the study group or the control group. Interscalene nerve block will be performed with preoperative sedation, ultrasound guidance and nerve stimulator.

Interscalene nerve block will be applied to the patients in the study group by using the smart glasses screen, and to the patients in the control group with the conventional ultrasound screen.

In this clinical study, the first trial success rate of the procedures, the time spent during the procedure, the overall success rate, the ergonomics of the practitioner, and the complications related to the block will be recorded and compared.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
60
Inclusion Criteria
  • Patients who are planned to undergo surgery under general anesthesia
  • Patients scheduled for postoperative analgesia after shoulder surgery
Exclusion Criteria
  • Local anesthetic allergy
  • Skin disease, infection, hematoma
  • Chronic obstructive pulmonary disease
  • Hepatic, renal, cardiac failures
  • Pregnancy
  • Uncooperative patient

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Classic Ultrasound GuidedUltrasound guidedUltrasound guided interscalene nerve block
Smart Glasses AssistedUltrasound guided smart glasses assistedUltrasound guided smart glasses assisted interscalene nerve block
Primary Outcome Measures
NameTimeMethod
First attempt success rateDuring peripheral nerve block procedure. Not to exceed 20 minutes

Ultrasound visualization and neurostimulator confirmation of the nerve plexus sheath being reached

Secondary Outcome Measures
NameTimeMethod
Overall attemptDuring peripheral nerve block procedure. Not to exceed 20 minutes

Number of attempt of needling

Ultrasound image timeDuring peripheral nerve block procedure. Not to exceed 20 minutes

From ultrasound probe application, to get nerves image on the ultrasound screen

Nerve block timeDuring peripheral nerve block procedure. Not to exceed 20 minutes

From needle puncture, to local anesthetic spreading

Overall success rateDuring peripheral nerve block procedure. Up to 1 day

The sensory and motor effect of the block

Operator's satisfactionDuring peripheral nerve block procedure. Not to exceed 20 minutes

Operator's satisfaction, 5 scale (Worst, Poor, Acceptable, Good, Best)

Complication rateThrough study completion, an average of 2 week

Block failure, pneumothorax, hematoma, local anesthetic toxicity

Trial Locations

Locations (1)

Bolu Abant İzzet Baysal University Faculty of Medicine

🇹🇷

Bolu, Turkey

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