Superior Trunk Block Applied for Upper Arm Surgery

Not Applicable

Completed

• Conditions: Post Operative Pain
• Interventions: Procedure: superior trunk block; Drug: intravenous patient-controlled analgesia

• Registration Number: NCT05474014
• Lead Sponsor: Bursa Yüksek İhtisas Education and Research Hospital

Brief Summary

Nerve blocks applied with ultrasonography are currently used for many post-operative pain and operations. Providing adequate area analgesia is the primary goal of clinicians, as early mobilization is suggested after shoulder and arm surgery.

In this study aimed to investigate the effect of superior trunk block application on postoperative analgesic and motor functions.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-07-19
• Study Start: 2022-07-20
• Study First Submitted QC: 2022-07-21
• Study First Posted: 2022-07-26
• Primary Completion: 2023-11-01
• Study Completion: 2023-12-01
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-24
• Last Update Posted: 2024-01-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Patients who were in the American Society of Anesthesiologists (ASA) I-III class
• Underwent upper arm surgery

Exclusion Criteria

• Previous local anesthetic allergy,
• Having a bleeding diathesis disorder,
• Mental disorder,
• Allergic to the drugs used,
• Patients who did not consent to participate in the study,
• Presence of infection in the block area,
• Patients with a body mass index above 30

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
superior trunk block	superior trunk block	Ultrasound guided superior trunk block with 10 ml % 0.25 bupivacaine + 400 mg tramadol, IV 4 mg/ mL tramadol solution into 100 mL normal saline; PCA (patient-controlled analgesia): 0.3 mg/kg bolus, 10 mg Demand dose and 20 min lock out interval, six-hour limit infusion to attain 100 mg. Maximum daily dose was set at 400 mg.
tramadol	intravenous patient-controlled analgesia	400 mg tramadol, IV 4 mg/ mL tramadol solution into 100 mL normal saline; PCA (patient-controlled analgesia): 0.3 mg/kg bolus, 10 mg Demand dose and 20 min lock out interval, six-hour limit infusion to attain 100 mg. Maximum daily dose was set at 400 mg.
superior trunk block	intravenous patient-controlled analgesia	Ultrasound guided superior trunk block with 10 ml % 0.25 bupivacaine + 400 mg tramadol, IV 4 mg/ mL tramadol solution into 100 mL normal saline; PCA (patient-controlled analgesia): 0.3 mg/kg bolus, 10 mg Demand dose and 20 min lock out interval, six-hour limit infusion to attain 100 mg. Maximum daily dose was set at 400 mg.

Primary Outcome Measures

Name	Time	Method
Visual Analog Scale	Postoperative 24 hours	Visual Analog Scale was used for pain.Pain intensity was measured using 0-10 cm visual analogue scale (VAS). (0=no pain, 10=intolerable pain)

Secondary Outcome Measures

Name	Time	Method
postoperative complications	Postoperative 24 hours	shortness of breath, hiccups, hoarseness
additional analgesic use amount	Postoperative 24 hours	The amount of paracetamol (intravenous, 1 g) or non-steroidal anti-inflammatory drug to be administered to patients with a Visuel analog scale above 5 after the operation.
Horner syndrome	Postoperative 24 hours	Horner syndrome is a rare condition classically presenting with partial ptosis (drooping or falling of upper eyelid), miosis (constricted pupil), and facial anhidrosis (loss of sweating) due to a disruption in the sympathetic nerve supply
tramadol consumption amount	Postoperative 24 hours	tramadol consumption amount with patient-controlled analgesia device

Trial Locations

Locations (1)

Bursa Yuksek Ihtisas Training and Research Hospital; 🇹🇷 Bursa, Turkey