The effect of good pain relief on arm movement following surgeries for fractures around the elbow

Completed

Conditions: Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified,

Registration Number: CTRI/2020/04/024510

Lead Sponsor: PGIMER

Brief Summary: Thisprospective, randomised clinical trial will be conducted in the department ofAnaesthesia and Intensive Care, PGIMER, Chandigarh with the aim ofinvestigating the effect of analgesia via patient controlled continuousinfraclavicular brachial plexus block technique, on early functionalrehabilitation after surgery for fractures around elbow. Patients will be allocated to one of the two groups of 20 patients each: Group Ipatients (n=20) will receive intravenous PCA in the postoperative period, usingpatient controlled bolus of 1mg Morphine intravenously with a lockout intervalof 15 minutes.Group IIpatients (n=20) will receive continuousinfraclavicular brachial plexus block using 0.2% Ropivacaine at a basal rate of5 ml / hr, with a patient controlled bolus of 3ml and a lockout interval of 30minutes. All patients will be assessed after3 weeks and 3 months following discharge. MEPS score will be assessed duringthese sessions by an assessor who is blinded to the group allocations.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 40

Inclusion Criteria

patients scheduled to undergo open reduction, internal fixation surgery for fractures around the elbow, under general anaesthesia will be enrolled in the study.

Exclusion Criteria

â–Local infection at the block site â–Brachial plexus injury â–Coagulopathy â–Sepsis â–Obesity (BMI>30) â–Allergy to local anesthetics / opioids â–Uncontrolled hypertension or ischemic heart disease â–Renal or hepatic dysfunction â–Bronchopulmonary disorders â–Pre-existing neurological deficit â–Prior surgery in the infraclavicular area â–Psychiatric illness â–Inability to cooperate or understand the study protocol.
â–Patients who fail to understand the scoring systems used in the study â–Refusal to give consent for the study.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Mayo Elbow Performance Score	3 weeks following discharge

Secondary Outcome Measures

Name	Time	Method
1.Mayo Elbow Performance Score at 3 months following discharge from the hospital	2. Numeric rating scale (NRS) score 4 hourly for 72 hours

Trial Locations

Locations (1): PGIMER
🇮🇳
Chandigarh, CHANDIGARH, India
PGIMER
🇮🇳Chandigarh, CHANDIGARH, India
Dr Arun Jagath AS
Principal investigator
9717828974
jagath9717@gmail.com