Ultrasound Guided Wide Awake Local Anesthesia Versus Clavipectoral Fascia Plane Block With Superficial Cervical Plexus Block for Clavicle Surgery, Prospective Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 42
- 试验地点
- 2
- 主要终点
- efficacy of the block as a sole anesthetic technique
研究概览
简要总结
The clavicle is frequently fractured bone. regional anesthesia (RA) for clavicle surgery is always challenging due t complex innervation from the two plexuses (cervical and brachial). various RA techniques described for clavicle surgery include plexus blocks, fascial plane blocks,and truncal blocks.
详细描述
Clavipectoral Fascial Plane Block (CPB) is most commonly used as an anesthesia and postoperative analgesia technique to clavicle surgery.
This study is deigned to evaluate the feasibility of wide awake local anesthesia no tourniquet (WALANT) technique as a sole anesthesia in clavicle surgery, clavipectoral (CVP) fascia plane block + superficial cervical plexus plane block (CPB) as a sole anesthesia technique in clavicle surgery by using intraoperative verbal rating score (VRS) to determine how many patients need analgesia, sedation or convert to general anesthesia (GA), and postoperative assessment of patient satisfaction and 24 hour postoperative opioid consumption.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
The patient and the anesthiologist who perform postoperative pain will not know the group.
入排标准
- 年龄范围
- 21 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •American society of anesthesiologists (ASA) 1,2
- •Unilateral clavicle fracture.
排除标准
- •psychologically unstable patient.
- •uncooperative patient.
- •patient refusal to be awake during surgery.
- •infection at site of infection.
结局指标
主要结局
efficacy of the block as a sole anesthetic technique
时间窗: 6 months
intra-operative verbal rating score to determine how many patients need supplementary analgesia,sedation or converted to general anesthesia
次要结局
- 24 hour postoperative opioid consumption(6 months)
- patient satisfaction(6 months)
研究者
Ismail Mohamed Abdelgawad Ahmed
DOCTOR
Al-Azhar University