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Does intra-venous pain pump or continuous infraclavicular brachial block prevent the rebound pain of brachial plexus blockade after distal radius fracture fixation?

Not Applicable
Completed
Conditions
Diseases of the musculoskeletal system and connective tissue
Registration Number
KCT0003404
Lead Sponsor
Asan Medical Center
Brief Summary

At postoperative 9 hours, the pain VAS score was significantly higher in the BPB only group than in the IV PCA group (p = 0.007) and continuous block group (p = 0.009). At postoperative 12 hours, the pain VAS score was significantly higher in the BPB only group than in the continuous block group (p = 0.004). The total opioid equivalent consumption (OEC) was significantly higher in the IV PCA group than in the BPB only group and continuous block group (p < 0.001, respectively); however, it was not significantly different between the BPB only group and continuous block group (p = 0.713). Continuous infraclavicular BPB is effective for controlling rebound pain after DRF fixation under BPB without increasing opioid consumption.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
66
Inclusion Criteria

AO/OTA tyoe A2, A3, B3, C1, C2, C3 distal radius fracture

Exclusion Criteria

1) Allergic reaction to Fentanyl, ramosetron HCl, ropivacaine, Oxycodone HCl
2) cognitive impairment
3) operative treatment for distal ulna fracture
4) multiple trauma

Study & Design

Study Type
Interventional Study
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
postoperative pain
Secondary Outcome Measures
NameTimeMethod
consumption of oral narcotics
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