Ultrasound-guided Selective Supraclavicular Nerve Block With Either Superior Trunk or Clavipectoral Fascial Plane Block for Clavicular Surgery
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 54
- 试验地点
- 2
- 主要终点
- Time of the first rescue analgesic request by the patient postoperative.
研究概览
简要总结
Surgical fixation for acute clavicular fractures is increasingly preferred among orthopedic surgeons to improve healing and decrease the risk of malunion. Regional anesthesia for clavicular fractures allows rapid recovery, prolonged postoperative analgesia, and less opioid consumption, and so decreases the hospital stay. There is no consensus regarding the best regional anesthetic technique for surgical fixation for acute clavicular fractures. Selective supraclavicular nerve block combined with either superior trunk or clavipectoral fascial plane block is a promising regional anesthetic technique for midshaft clavicular surgeries.
详细描述
This study will assess if there is a difference in the quality of surgical anesthesia between selective supraclavicular nerve block combined with either superior trunk or clavipectoral fascial plane block for clavicular fractures. Aiming to achieve high-quality surgical anesthesia and postoperative analgesia for middle clavicular fracture surgeries with optimum hemodynamic stability and high patient and surgeon satisfaction.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age: 18-45 years old.
- •Sex: both sexes.
- •The American Society of Anesthesiologists (ASA) Physical status: ASA I & II.
- •Body mass index (BMI): 18.5 - 24.9 kg/m
- •Type of operations: surgical repair of the midshaft clavicular injuries.
排除标准
- •Patient refusal.
- •Known hypersensitivity to lidocaine or bupivacaine.
- •Patients with respiratory insufficiency.
- •Coagulation disorders or taking drugs affect surgical hemostasis.
- •Patients with pre-existing neurological deficits
- •Uncooperative patient or with altered mental status.
结局指标
主要结局
Time of the first rescue analgesic request by the patient postoperative.
时间窗: 24 hours
The patient will be asked to quantify postoperative pain using the visual analogue pain score as the following 0: no pain, and 10: maximum imaginable pain. Nalbuphine 4 mg will be administered intravenous as rescue analgesia if the visual analogue pain score ≥4. The time of the first rescue analgesic request will be recorded.
次要结局
- Patient and surgeon satisfaction.(24 hours)
- Any reported complications.(24 hours.)
- Onset of sensory block.(20 minutes)
- Ipsilateral diaphragmatic excursion affection.(1 hour)
- The Numerical Pain Rating Scale in the first 24 hours(24 hours.)
- The total opioid consumption in the first 24 hours(24 hours.)