Supraclavicular Brachial Plexus Block as Opioid Sparing Technique in Pediatrics Undergoing Arteriovenous Fistula Creation: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Intraoperative fentanyl consumption
研究概览
简要总结
This study aims to evaluate the efficacy of supraclavicular brachial plexus block as an opioid-sparing technique in pediatric patients undergoing arteriovenous fistula creation.
详细描述
The global incidence of end-stage renal failure (ESRF) is increasing. The preferred procedure for patients with ESRF undergoing maintenance Haemodialysis (HD) is the placement of an arteriovenous fistula (AVF).
In patients with ESRF, brachial plexus block (BPB) is frequently employed to administer anesthesia for the establishment or modification of AVF. This technique offers pain relief, sympathetic blockade, ideal surgical conditions, and a sufficient duration of postoperative block, preventing arterial spasms and graft thrombosis
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 6 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age from 6 to 18 years.
- •Both sexes.
- •American Society of Anesthesiology (ASA) physical status I- III.
- •Undergoing arteriovenous fistula creation under general anesthesia.
排除标准
- •Allergy to local anesthetics.
- •Infection at the site of block.
- •Local infection.
- •Coagulation disorder.
- •Previously failed or revision of blocked arteriovenous fistula.
研究组 & 干预措施
Supraclavicular brachial plexus block group
Patients will receive an ultrasound-guided supraclavicular brachial plexus block.
干预措施: Supraclavicular brachial plexus block (Other)
Control group
Patients will not receive supraclavicular brachial plexus block as a control group.
结局指标
主要结局
Intraoperative fentanyl consumption
时间窗: Intraoperatively
次要结局
- Total opioid consumption(24 hours postoperatively)
- Time to the 1st rescue analgesia(24 hours postoperatively)
- Degree of pain(24 hours postoperatively)
- Patient satisfaction(24 hours postoperatively)
- Incidence of adverse events(24 hours postoperatively)
研究者
Mohammed Said ElSharkawy
Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt
Tanta University