A Retrospective Clinical Registry of Peripheral Nerve Block: Current Practice and Complications
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 13,816
- 试验地点
- 1
- 主要终点
- Peripheral nerve block
研究概览
简要总结
Locorregional anaesthesia have been increased its role in different kind of surgeries, alone or combined with general anesthesia. Due to ultrasound, peripheral nerve blocks have been increased their importance in locoregional anaesthesia. They provide excellent intraoperative and postoperative analgesia, decreasing the need for intravenous opioids which increase postoperative nausea and vomiting which may prolong hospital stay.
The primary study objective is to analyze retrospectively the use of peripheral nerve blocks in the current practice of a specialized regional anaesthesia division.
This is an observational, retrospective and unicenter study. 1346 patients scheduled for the surgery needed a peripheral nerve block were enrolled.
详细描述
Locorregional anaesthesia have been increased its role in different kind of surgeries, alone or combined with general anesthesia. Due to ultrasound, peripheral nerve blocks have been increased their importance in locoregional anaesthesia. They provide excellent intraoperative and postoperative analgesia, decreasing the need for intravenous opioids which increase postoperative nausea and vomiting which may prolong hospital stay.
However, peripheral nerve blocks may be associated with postoperative complications, especially neurological ones. Classically, interscalene brachial plexus block produced a 100% incidence of phrenic nerve paralysis with resultant pulmonary compromise. Little literature has published a following of complications.
The primary study objective is to analyze retrospectively the use of peripheral nerve blocks in the current practice of a specialized regional anaesthesia division. The secondary objectives are assessed the patients characteristics of our sample, local anaesthetic dose used, the peripheral nerve block operator, the nerve location technique, the surgery and the complication rate after peripheral nerve block.
This is an observational, retrospective and unicenter study. 1346 patients scheduled for the surgery needed a peripheral nerve block were enrolled.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Every patient who needs a peripheral nerve block performed by Anestesia Department.
排除标准
- •Patient refusal of peripheral nerve block.
- •Known allergy to amide local anaesthetic drugs
- •Absolute contraindications to perform a peripheral nerve block as coagulopathy, active infection at the block site or severe respiratory background.
结局指标
主要结局
Peripheral nerve block
时间窗: During procedure
This primary outcome is the type of peripheral nerve block performed
Incidence and frequency of Serious Adverse Events (SAE)
时间窗: From performing the peripheral nerve block to 1-year follow-up
This primary outcome is the incidence, frequency and severity of Serious Adverse Events (SAE) as assessed by CTCAE v4.0 after peripheral nerve block.
次要结局
- Incidence and frequency of Postoperative neurological complications (PONC)(From performing the peripheral nerve block to 1-year follow-up)
- Local anesthetic dose used in peripheral nerve block(During procedure)
- Local anesthetic used in peripheral nerve block(During procedure)
- Peripheral nerve block operator(During procedure)
- Local anesthetic volume used in peripheral nerve block(During procedure)
- Nerve location technique used in peripheral nerve block(During procedure)