The effect of ultrasound guided surficial cervical plexus block with clavipectoral fascial plane block or interscalene brachial plexus block in clavicle surgery
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- To find out the time of first rescue analgesia in both the study group
研究概览
简要总结
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Pre anesthetic checkup will be done before surgery
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Procedure and possible complications of anesthesia and superficial cervical plexus block clavipectoral fascial plane block interscalene block will be explained in patients own language on the day before surgery during the review in the ward. Informed written consent will be obtained from the patient along with the witness signature.
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On arrival to the operative room an IV access with 18 or 20 Gauge IV cannula will be secured.
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Minimum mandatory monitoring of SpO2, BP, ECG, ETCO2, Temperature will be done.
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As per the decision taken by the Consultant Anesthesiologist patients will receive either superficial cervical plexus block with clavipectoral fascial plane block or superficial cervical plexus block with interscalene block.
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Group 1 Under sterile aseptic precautions superficial cervical plexus block 10ml of 0.5% Inj. Ropivacaine with clavipectoral fascial plane block 20ml of 0.5% Inj. Ropivacaine
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Group 2 Under sterile aseptic precautions superficial cervical plexus block 10ml of 0.5% Inj. Ropivacaine with interscalene block 20ml of 0.5% Inj. Ropivacaine
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Patient is handed over to the surgeon after assessing the effect of the block. If patient in either group complaints of pain, case is converted to General Anesthesia and is excluded from the study
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In the recovery room and Post-operative ward the patients will be monitored for vital parameters which include BP HR SpO2 RR Effect of block measured at 30mins post operative analgesic duration motor function duration of block hemi-diaphragmatic paralysis.
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Rescue analgesic will be administered as appropriate.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Elective surgery with ASA grade 1 and 2 2.Patient undergoing Elective surgery of Clavicular fracture Planned for ORIF plating of clavicle.
排除标准
- •1.Patient refusal 2.Abnormal blood coagulation 3.Allergy to local anesthesia 4.ASA grade III and above 5.Age more than 60 years and less than 18 years 6.Puncture site infection.
结局指标
主要结局
To find out the time of first rescue analgesia in both the study group
时间窗: To find out the time of first rescue analgesia in 24housin both the study group
次要结局
- To find out pain score 2nd hour post operatively(To assess the Bromage score)
研究者
Ganapathy S
Shree Balaji Medical College and Hospital