Comparison of Patients With Distal Radius Fracture Who Underwent Surgery With WALANT Technique or Peripheral Nerve Block Anesthesia Methods in Terms of Patient Satisfaction and Functional Results in the Postoperative Period
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 48
- 试验地点
- 1
- 主要终点
- Changes in the patient's anxiety
研究概览
简要总结
WALANT anesthesia technique has been frequently preferred in hand and upper extremity surgery in recent years. WALANT technique; It stands out with its advantages such as lack of pre-operative anesthesia preparation process, reduction in test and examination requests, reduction in unnecessary hospitalizations and high patient satisfaction. There are studies with a high level of evidence showing that the WALANT technique has such advantages in soft tissue and smallmedium bone fracture surgery. In large bone fractures (radius, etc.), surgical treatment is performed with the WALANT technique and positive results have been reported. Although there is a study comparing WALANT and general anesthesia in the surgical treatment of distal radius fractures, there is no study comparing the peripheral nerve block technique.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients older than 18 years of age
- •Patients who had acute distal radius fracture which underwent surgery
排除标准
- •Patients with open fractures
- •Additional injuries in the same extremity, peripheral vascular disease, and local anesthetic allergy at the time of first admission
- •Patients who are switched to general anesthesia after both techniques
- •Patients who underwent a second surgery on the same extremity due to any complication
- •Patients who had lacked follow-up examination information
结局指标
主要结局
Changes in the patient's anxiety
时间窗: Baseline, immediately after the surgery, 2 weeks after surgery, 6 weeks after surgery, 12 weeks after surgery, 24 weeks after surgery
State-Trait Anxiety Inventory (STAI-TX) (no anxiety: 1 point, a little anxiety: 2 points, anxious: 3 points, very anxious: 4 points) to measure anxiety
Changes in the patient's pain
时间窗: Baseline, immediately after the surgery, 2 weeks after surgery, 6 weeks after surgery, 12 weeks after surgery, 24 weeks after surgery
Visual Analogue Scale (VAS) scale (1 to 10 score. 10 means worst pain possible, 1 is almost no pain) to measure pain level
次要结局
- Number of complications after surgery(Collected at end of follow up (24 months))
- Description of reason why the patient needed adding some extra anaesthesia if necessary due to lack of effectiveness of the main anaesthetic technique(During surgery (intraoperative))
- Evolution in postoperative wrist mobility(Baseline, 2 weeks after surgery, 6 weeks after surgery, 12 weeks after surgery, 24 weeks after surgery)
- Number of patients who need conversion to general anaesthesia due to lack of effectiveness of anaesthetic technique(During surgery (intraoperative))
- Type of anaesthetic technique added to solve the lack of effectiveness of the main anaesthesia(During surgery (intraoperative))
研究者
Huseyin Bilgehan Cevik
MD, Assoc Prof
Diskapi Yildirim Beyazit Education and Research Hospital