Comparing the Efficacy and Safety of Ultrasound Guided Supraclavicular Block Combined With Either Intercosto-brachial Nerve Block or pec11block for Creation of Surgical Brachio-basilic Fistula in Chronic Renal Failure Patients on Hemodialysis
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 入组人数
- 4
- 试验地点
- 2
- 主要终点
- the proportion of patients with adequate block (no need for intraoperative local infiltration),
研究概览
简要总结
In our study we are trying to reach to the more efficient us guided peripheral nerve block either intercosto-brachial or PPEC 11 that can be combined with us guided supraclavicular block to effectively anesthetise the surgical site for creation of brachio-basilic fistula as regarding onset of surgical anesthesia, adequacy of intra-operative anesthesia, the need for surgical wound infiltration, duration of postoperative analgesia and the failure rate of the fistulae.
详细描述
- Type of Study: Randomized Prospective trail
- Study Setting: Ain Shams University Hospitals, Cairo, Egypt
- Study Period: 6 months.
Sampling Method: Patients will be subdivided randomly into two groups :
Group (SI) : 25 ml of bupivacaine 0.5 % for us guided supraclavicular block plus 10 ml of lidocaine 2% for us guided intercostobrachial nerve block.
Group(SP) : 25 ml of bupivacaine 0.5 % for us guided supraclavicular block plus10 ml of lidocaine 2% for us guided PECll block.
Study Procedures:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Double (Care Provider, Investigator)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •American Society of Anesthesiologists Grade III, age 25-75 years who are scheduled for brachio-basilic AVF.
排除标准
- •Patients will be excluded if they have infection at the injection site, allergy to local anesthetics, chronic use of opioids, a history of neurological neuromuscular, or severe hepatic or cardiopulmonary disease, a contraindication to regional anesthesia or patient /guardian refusal.
结局指标
主要结局
the proportion of patients with adequate block (no need for intraoperative local infiltration),
时间窗: "through study completion ,an average of one year"
ratio
次要结局
- duration of postoperative analgesia("through study completion ,an average of one year")
- onset of surgical anesthesia("through study completion ,an average of one year")
- the failure rate of the fistulae.("through study completion ,an average of one year")
研究者
Amira Fathy Hefni,MD-EDIC
Assistant professor
Ain Shams University