Validation of Peripheral Perfusion Index in Predicting Successful Supraclavicular Brachial Plexus Block for Upper Extremity Procedures in Children.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pediatrics
- Sponsor
- Cairo University
- Enrollment
- 59
- Locations
- 1
- Primary Endpoint
- Perfusion index
- Status
- Not yet recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
Few data are available for the PI as a tool for evaluation of peripheral block success in pediatric patients. Furthermore, there is currently no cut-off value defined for the accuracy of the PI in the detection of successful block.
Detailed Description
modify plan for intraoperative and postoperative analgesia. Perfusion index is an assessment of the pulsatile strength at a monitoring site; it is calculated by means of pulse oximetry by expressing the pulsatile signal as a percentage of the non pulsatile signal by a specialized probe, both of which are derived from the amount of infrared light absorbed.PI can provide useful information about the peripheral perfusion status of the patients and works as an index for sympathetic stimulation. Recent study suggested that PI could be used as an early and sensitive indicator to assess the development of sympathectomy induced by brachial plexus block in conscious adults; it is more sensitive than other parameters such as changes of skin temperature gradients or mean arterial pressure (MAP)
Investigators
mohamed abdelghany ali
Lecturer of anesthesia
Cairo University
Eligibility Criteria
Inclusion Criteria
- •Age group: (3-14) years old. ASA class I-II
Exclusion Criteria
- •Patients with age below 3 year or older than 14 years. Parent refusal. Patients with apparent infection at site of needle insertion. Patients with any coagulation disorder. Patients with known neuropathy or brachial plexus injury. Patients with any cardiac, hepatic, renal or neurological disease
Outcomes
Primary Outcomes
Perfusion index
Time Frame: Intraoperative
The sensitivity of perfusion index in predicting success of supraclavicular brachial plexus block in pediatric patients.
Secondary Outcomes
- Temperature(Intraoperative)