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Anti-inflammatory Effect of General Anesthesia plus Supraclavicular Peripheral Nerve Blocks After Distal Humeral and Elbow Surgery: Clinical and Labo

Not Applicable
Recruiting
Conditions
Surgery
Injury, Occupational Diseases, Poisoning
post operative pain in upper limb ORIF in limb fractures
Anaesthesia
Registration Number
PACTR201711002713192
Lead Sponsor
Fayoum University Hospitals
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
30
Inclusion Criteria

Sixty Patients of both genders ASA ( I¿II - III), aged from 18 to 75 years will be randomly allocated either to receive general anesthesia alone (20) patients group GA , or general anesthesia + supraclavicular block (GAB) (30) patients.

Exclusion Criteria

Exclusion criteria include previous surgery or trauma on the upper limb, current use or previous use of corticosteroids, systemic illness known to affect the inflammatory changes such as rheumatoid arthritis, patients with Congestive heart failure, diabetes mellitus, hypertension, malignancy , patients with coagulopathies or on anticoagulants or antiplatelet therapy.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
cytokine response (inflammatory:IL-6), (TNF-¿ and anti-inflammatory(IL-10) ) ;5-Morphine consumption
Secondary Outcome Measures
NameTimeMethod
1-The circumference and skin temperature of the operated site and contralateral side. ;2-Oedema will be measured thread and compared witth the contralateral side and by oedema score.;3-Pain at rest and at movement will be measured by (VAS) from (0¿10) measured ;4-Healing power of wound: Assessment by Bates-Jensen wound assessment tool (1-13)
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