A Comparative Study of Retroclavicular and Classical Coracoid Infraclavicular Brachial Plexus Blocks Using 0.5% Ropivacaine in Patients Undergoing Forearm Surgery.
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Sargodha Medical College
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- 1 onset of motor block.
Overview
Brief Summary
It is hypothesized that retro clavicular Infraclavicular brachial plexus block is better than classical coracoid Infraclavicular brachial plexus block in patients undergoing forearm surgery
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients from 18-60 years.
- •Male Patients
- •Elective forearm surgery
- •BMI ≤30kg/m2
- •American Society of Anesthesiologist (ASA) Physical Status ≤III
Exclusion Criteria
- •History of known allergy or hypersensitivity against study drug.
- •Previous surgery on the same limb
Outcomes
Primary Outcomes
1 onset of motor block.
Time Frame: Intraoperatively
Onset of motor block assess using modified bromage scale Score Grade of motor blockade(Modified bromage scale) 0 Normal muscle function with full range of movement of elbow, wrist and fingers . 1 Decreased muscle power so that patient can move fingers and /or wrist only 2. Complete loss of muscle function with no movement in fingers/wrist
Onset of sensory Block
Time Frame: Intraoperatively l
Onset of sensory block assess using pin prick method Grade of sensory blockade Score 1. Feeling sharp pinprick (no block) 0 2. Blunt sensation on pinprick (partial block 1 3. No sensation on pinprick (complete block) 2
Block adequate for surgery
Time Frame: Intraoperatively
Block adequate for surgery when there is no need for local infiltration and general anesthesia
Needle Shadow and shaft visibility using 5 point likert scale.
Time Frame: Intraoperatively
NEEDLE SHADOW VISIBILITY 5-POINT LIKERT SCALE SCORE Needle tip visibility 1. Very poor 2. Poor 3. Fair 4. Good 5. Very good 5-POINT LIKERT SCALE SCORE Needle Shaft visibility 1. None of the shaft visualized 2. Only a small segment of the shaft visualized 3. Less than half of the shaft visualized 4. Almost all of the shaft visualized 5. The entire shaft visualized
Secondary Outcomes
- Rescue anesthesia requirement(Intraoperatively after regional block)
- Procedure Time(Intraoperatively)
- Complication(Intraoperatively)