Comparison of incidence of ipsilateral hemidiaphragmatic paresis following supraclavicular and costoclavicular approach to brachial plexus block.
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
- USG assessment of ipsilateral hemidiaphragmatic excursion.
研究概览
简要总结
This study willbe conducted in the Department of Anaesthesiology and Critical care, Pt. B.D. SharmaPGIMS , Rohtak. Fifty patients of either sex, 18-70 years old, ASA grade I-III,scheduled to undergo elective surgeries below mid arm will be enrolled for thestudy. The aim of this study is to compare the incidence of hemidiaphragmaticparesis following supraclavicular and costoclavicular approach to brachialplexus block. The primary objective is to compare the incidence ofhemidiaphragmatic paresis between supraclavicular and costoclavicular approachto brachial plexus block using ultrasonographic assessment of ipsilateralhemidiaphragmatic excursion. The secondary objectives are to compare theefficacy of both the blocks and patient satisfaction.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 70.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients having American Society of Anesthesiologists (ASA) grade I-III, scheduled to undergo elective surgery below midarm of less than 2 hours duration, under regional anaesthesia.
排除标准
- •Patients with -Significant pulmonary disease -History of psychiatric illness.
- •Diabetes mellitus, neuropathy, patients receiving opioids for chronic pain therapy -Known coagulopathy or on anticoagulant therapy.
- •Infection at the injection site.
- •Pregnant and lactating female patients.
- •Hypersensitivity to local anesthetic drug used.
- •Patient refusal and inability to give informed consent.
结局指标
主要结局
USG assessment of ipsilateral hemidiaphragmatic excursion.
时间窗: -Before performing supraclavicular/costoclavicular approach to brachial plexus block. | - 30 min after performing supraclavicular/costoclavicular approach to brachial plexus block.
次要结局
- Assessment of sensory block(-5 minutes after giving block)
- Assessment of Motor block(-5 minutes after giving block)
- Patient satisfaction using visual analogue scale (VAS)(- Immediately after performing block)