Early Rehabilitation After Hand or Wrist Ambulatory Surgery : How to Preserve Locomotion at Home Without Rebound Pain?

• Conditions: Wrist Surgery; Hand Surgery
• Interventions: Other: Regional anesthesia

• Registration Number: NCT04306666
• Lead Sponsor: University Hospital, Montpellier

Brief Summary

The purpose of this retrospective study is to compare the analgesic efficacy of Walant " Wide Awake Local Anesthesia No Tourniquet " with lidocaine and bupivacaine versus axillary brachial plexus block using mepivacaïne, both performed by anesthesiologists, after hand or wrist ambulatory surgery.

The main objective is to prove that Walant block improve pain relief at home measuring time to first analgesic request.

The secondary objectives are to compare maximal pain, consumption of supplementary analgesics, and the duratin of sensory block between groups.

Detailed Description

data will be collected on patient records and will be compared between groups of regional anesthesia.

Data will be :

* time to first analgesic request

* sensory block

* rescue analgesia during the first 24 hours after surgery

* maximal pain score during the first 24 hours after surgery

* patient satisfaction of managing care

Study Timeline

• Study First Submitted: 2019-11-29
• Study Start: 2019-12-30
• Status Verified: 2020-03
• Study First Submitted QC: 2020-03-12
• Last Update Submitted: 2020-03-12
• Study First Posted: 2020-03-13
• Last Update Posted: 2020-03-13
• Primary Completion: 2020-12-01
• Study Completion: 2020-12-31

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• All adults patients scheduled for hand or wrist ambulatory surgery since 2016

Exclusion criteria:

• NA

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Walant group	Regional anesthesia	Walant group
Axillary Brachial Plexus Block	Regional anesthesia	Axillary Brachial Plexus Block

Primary Outcome Measures

Name	Time	Method
duration of analgesia	24 hours	time to first rescue analgesic request (opioid)

Secondary Outcome Measures

Name	Time	Method
duration of sensory block	24 hours	Pain assessments during first 24 hours : duration of sensory block
maximal pain score during the first 24 hours after surgery	24 hours	Pain assessments during first 24 hours : maximal pain score during the first 24 hours after surgery
total rescue analgesia amounts the first 24 hours after surgery	24 hours	Pain assessments during first 24 hours : total rescue analgesia amounts the first 24 hours after surgery

Trial Locations

Locations (1)

Uhmontpellier; 🇫🇷 Montpellier, France