Association Between Anatomic Characteristics of Neck and Diaphragmatic Palsy After Brachial Plexus Block: A Prospective Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Phrenic nerve palsy
研究概览
简要总结
The purpose of this study was to determine the association between the anatomical characteristics of neck and postoperative diaphragmatic paralysis in patients undergoing interscalene brachial plexus block before shoulder arthroscopic surgery.
详细描述
The purpose of this study was to determine the association between the anatomical characteristics of neck and postoperative diaphragmatic paralysis in patients undergoing interscalene brachial plexus block before shoulder arthroscopic surgery. In addition, we want to identify risk factors for diaphragmatic paralysis after brachial plexus block. Through this study, we can find the basis for predicting the possibility of diaphragmatic paralysis after brachial plexus block according to the patient's anatomical characteristics and procedural factors.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Prospective
入排标准
- 年龄范围
- 19 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients over 19 years undergoing shoulder arthroscopic surgery for a rotator cuff tear repair under general anesthesia
排除标准
- •Patients who refused to participate in the trial
- •Patients with respiratory diseases such as asthma and chronic obstructive pulmonary disease
- •Patients with neurological abnormalities of the upper limb
- •Patients with a history of surgery around the neck on the ipsilateral side of the surgery site, radiation treatment history, etc.
- •Patients with a history of allergy or hypersensitivity reactions to local anesthetics
结局指标
主要结局
Phrenic nerve palsy
时间窗: 10 minutes after the end of surgery
Ultrasound is used to check the movement of the diaphragm on the operation side. The movement of the diaphragm is measured in centimeters when checked with M-mode in a forceful sniffing state.
次要结局
- Neck girth(Before induction, 1-2 minutes)
- Weight(At admission, 1-2 minutes)
- Sex(At admission, 1-2 minutes)
- Neck length(Before induction, 1-2 minutes)
- Height(At admission, 1-2 minutes)
- The method of brachial plexus block(During brachial plexus block, 10 minutes)
- The volume (dose) of local anesthetics injected(During brachial plexus block, 10 minutes)
研究者
Jin-Tae Kim
Professor
Seoul National University Hospital