Loss and Return of Sensation After Axillary Brachial Plexus Nerve Block - Distally or Proximally
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Loss of sensation after axillary brachial plexus nerve block
研究概览
简要总结
Peripheral regional anesthesia is the current gold standard of opioid-sparing perioperative analgesia, especially in shoulder, upper limb, and leg surgery. Axillary brachial plexus nerve block is one possible block for upper limb surgery. Loss and return of sensation require time and loss of sensation is supposed to spread from the proximal part to the distal part of the upper limb. Interestingly, until now there is no study about the return of sensation related to the anatomic region.
The investigators hypothesize that the loss and return of sensation after axillary brachial plexus nerve block will first occur in the proximal part of the upper limb and last in the distal part.
详细描述
Peripheral regional anesthesia is the current gold standard of opioid-sparing perioperative analgesia, especially in shoulder, upper limb, and leg surgery.(1-8) Axillary brachial plexus nerve block is one possible block for upper limb surgery.(4, 5, 9) Loss and return of sensation require time. It is known from clinical practice that loss of sensation occurs from the proximal part of the arm to the distal part of the upper limb.
Interestingly, until now there is no study about the return of sensation related to the anatomic region. The investigators hypothesize that return of sensation after axillary brachial plexus nerve block will develop in the same direction like loss of sensation, what means from proximal to the distal part of the upper limb.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Outpatients with planed surgery with axillary brachial plexus nerve block
- •Informed consent as documented by signature
- •Age ≥ 18 years
排除标准
- •Patients with a known allergy towards the local anaesthetic
结局指标
主要结局
Loss of sensation after axillary brachial plexus nerve block
时间窗: Pre-surgery
A questionnaire will be used to record the loss of sensation in the upper limb. Sensation loss is recorded separately for the finger, hand, forearm, elbow, and arm. It will distinguish between initial and complete loss of sensation.
Return of sensation after axillary brachial plexus nerve block
时间窗: Immediately after the surgery
A questionnaire will be used to record the return of sensation in the upper limb. Sensation return is recorded separately for the finger, hand, forearm, elbow, and arm. It will distinguish between initial and complete return of sensation.
次要结局
- Block failure(Pre-surgery)
- Pain after(Immediately after the surgery)
- Pain before(Pre-surgery)
- Amount of pain medication(Immediately after the surgery up to 2 days)
- Prolongation of hospitalization(Immediately after the surgery)
- Patients satisfaction with pain therapy(Immediately after the surgery)
- Satisfaction of medical staff with the execution of the axillary brachial plexus nerve block(Immediately after the surgery)