Comparison of Brachial Plexus Block Versus General Anesthesia for Upper Extremity Surgery: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 120
研究概览
简要总结
This study compares two different anesthesia methods for upper arm and hand surgery: regional anesthesia (brachial plexus block) versus general anesthesia.
Regional anesthesia numbs only the arm being operated on by injecting local anesthetic near the nerves, while the patient remains awake or lightly sedated. General anesthesia puts the patient completely asleep using medications given through a breathing tube.
The main goals of this study are to compare:
- How much pain patients experience after surgery
- Patient satisfaction with their anesthesia
- Side effects such as nausea, vomiting, or breathing problems
- Time until patients are ready to go home
- Overall safety of each method
Participants in this study will be randomly assigned to receive either brachial plexus block or general anesthesia for their scheduled upper extremity surgery. The research team will monitor participants during surgery and follow their recovery for 24 hours after the operation.
This research will help doctors and patients make better-informed decisions about which type of anesthesia may be best for upper extremity procedures.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •clusion Criteria:
- •Adults aged 18-65 years
- •ASA physical status I-II
- •Scheduled for elective upper-extremity orthopedic surgery
- •Able to provide informed consent
- •Able to understand and complete study questionnaires
排除标准
- •Contraindications to regional anesthesia
- •Coagulopathy or bleeding disorders
- •Local infection at the block site
- •Patient refusal of regional anesthesia
- •Known allergy to local anesthetic agents
- •Chronic opioid use (daily use for >3 months)
- •Psychiatric disorders preventing cooperation or consent
- •Pregnancy or breastfeeding
- •Severe respiratory disease (for general anesthesia group)
- •Pre-existing neurological deficit in the operative extremity
- •Emergency surgery
- •ASA physical status III or higher
研究者
Dilek Uçak
Principal Investigator, Department of Anesthesiology and Reanimation
Adana City Training and Research Hospital