A Prospective randomized study comparing the effectiveness of Ultrasound guided Costoclavicular and Suprascapular nerve block with Interscalene block in patients undergoing upper arm and shoulder orthopaedic surgeries.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- 1.To compare the difference in time of onset and duration of sensory blockade between the two groups.
研究概览
简要总结
Title of the project - "A Prospective randomised study comparing the effectiveness of ultrasound guided costoclavicular + suprascapular nerve block with interscalene block in patients undergoing upper arm and shoulder orthopaedic surgeries."
Objectives of the study:
Primary objectives:
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To compare the difference in the time of onset and duration of sensory blockade between the two groups.
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To compare the difference in time of onset and duration of motor blockade between the two groups.
Secondary objectives:
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To compare analgesic consumption intraoperatively and postoperatively in the first 24 hours between the two groups.
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To compare intra and postoperative hemodynamic changes if any.
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To assess and compare patient satisfaction score after the surgery between the two groups.
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To compare complications and adverse effects if any, between these two block techniques.
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To compare incidence of failure rate between the two groups.
As according to the previous studies, costoclavicular block is safe in patients with pneumothorax and costoclavicular block when combined with suprascapular nerve block will result in more complete anaesthetic coverage of the shoulder joint . While interscalene block is often associated with hemi diaphragmatic paresis due to close proximity of phrenic nerve. However, limited studies are available that compare the effectiveness of combined costoclavicular and suprascapular brachial plexus block with interscalene block in upper arm and shoulder orthopaedic surgeries. Hence we decided to compare these ultrasound guided nerve blocks in terms of efficacy and quality of block, requirement of intra operative analgesia and post-operative analgesia and patient satisfaction score in patients undergoing upper arm and shoulder orthopaedic surgeries.
研究设计
- 研究类型
- Interventional
- 分配方式
- Computer generated randomization
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •Both male and female patients in the age group of 18 to 65 years with physical status ASA I and ASA II.
排除标准
- •ASA III,IV,V patients
- •Patients with coagulation abnormalities
- •Pregnant patients
- •Patients with known hypersensitivity to local anaesthetics
- •Uncooperative and unwilling patients
- •Morbid obese patients
- •Patients suffering from peripheral neuropathy or any demylienating disorders.
结局指标
主要结局
1.To compare the difference in time of onset and duration of sensory blockade between the two groups.
时间窗: Sensory block 0min | 5min | 7min | 10min | 20min | Motor block 0min | 5min | 7min | 10min | 2omin
2.To compare the difference in time of onset and duration of motor blockade between the two groups.
时间窗: Sensory block 0min | 5min | 7min | 10min | 20min | Motor block 0min | 5min | 7min | 10min | 2omin
次要结局
未报告次要终点