Investigation of the Effectiveness of Superior Trunk Block Applied for Upper Arm Surgery Operation Analgesia
Overview
- Phase
- Not Applicable
- Intervention
- superior trunk block
- Conditions
- Post Operative Pain
- Sponsor
- Bursa Yüksek İhtisas Education and Research Hospital
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Visual Analog Scale
- Status
- Completed
- Last Updated
- 2 years ago
Overview
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.
Investigators
Korgün Ökmen
Assoc.Phd.M.D
Bursa Yüksek İhtisas Education and Research Hospital
Eligibility Criteria
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
Arms & Interventions
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.
Intervention: 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.
Intervention: intravenous patient-controlled analgesia
tramadol
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.
Intervention: intravenous patient-controlled analgesia
Outcomes
Primary Outcomes
Visual Analog Scale
Time Frame: 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 Outcomes
- additional analgesic use amount(Postoperative 24 hours)
- postoperative complications(Postoperative 24 hours)
- Horner syndrome(Postoperative 24 hours)
- tramadol consumption amount(Postoperative 24 hours)