Comparing the incidence of diaphragmatic paralysis in two types of block-supraclavicular block(above the clavicle) and costoclavicular block(below the clavicle)
- Conditions
- Health Condition 1: U072- COVID 19 virus not identifiedHealth Condition 2: O- Medical and Surgical
- Registration Number
- CTRI/2022/11/047593
- Lead Sponsor
- Vijayanagar Institute of Medical Science
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
1)Patients of 18-60 years of age, of either sex posted for(elective/emergency) upper limb surgery.
2)ASA physical status 1,2
3)Patients with normal cardiorespiratory function.
1)Refusal by patients for the procedure.
2)Known/suspected allergy to local anaesthetics.
3)Pregnant patients
4)Patients with body mass index more than 35kg/m2
5)Patients with neuromuscular disease
6)Patients with obstructive or restrictive pulmonary disease.
7)Patients with known/suspected phrenic nerve palsy or diaphragmatic dysfunction, other medical or anatomical contraindication to brachial plexus blockade.
8)Patients with deranged coagulation profile or having bleeding diathesis.
9)Evidence of local infection at the site of block
10)Patients with family history of neural disease.
11)Patients with opiod consumptions preoperatively.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Incidence of Hemidiaphragmatic paralysis by M mode ultrasound,and measuring diaphragmatic excursion and peak expiratory flow rateTimepoint: M mode ultrasound at 10 minutes interval after complete motor block and PEFR at 10 minutes interval
- Secondary Outcome Measures
Name Time Method Onset, duration and quality of blockade.Timepoint: At 15-30 minutes we assess sensory blockade in the Musculocutaneous(lateral forearm),radial(dorsal hand),median(thenar eminence) and ulnar(hypothenar eminence) distributions with respect to temperature, pressure and touch through Validated 3 point scale.