Comparison of the efficacy between Ultrasound guided Supraclavicular brachial plexus block and Infraclavicular brachial plexus block using 0.5 percent Ropivacaine in forearm surgeries - A prospective randomised double blind study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 58
- 试验地点
- 1
- 主要终点
- Onset time and duration of sensory and motor block assessed using pinprick test and Modified Bromage scale in the radial, median, and ulnar nerve distributions
研究概览
简要总结
This is a prospective, randomised, double-blinded comparative clinical trial evaluating the efficacy of ultrasound-guided supraclavicular brachial plexus block versus ultrasound-guided infraclavicular brachial plexus block in adult patients undergoing forearm surgeries. Fifty-eight patients aged 20 to 60 years with ASA physical status I or II will be enrolled and allocated to one of the two groups using computer-generated randomisation. Both groups will receive 20 mL of 0.5% ropivacaine as a single-shot injection under ultrasound guidance. The primary outcome measures are onset time and duration of sensory and motor block. Secondary outcomes include time to first request for rescue analgesia, total rescue analgesic requirement in the first 24 hours, postoperative pain scores, and block-related complications. Assessments will be conducted intraoperatively and up to 24 hours post-procedure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 20.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •ASA physical status grade I or II,Age between 20 and 60 years,Both male and female patients,Body mass index less than 30 kg/m2,Patients admitted for forearm surgeries,Patients willing to participate and provide written informed consent.
排除标准
- •ASA physical status grade III, IV, or V,Age less than 20 years or greater than 60 years,Pregnant or lactating women,Body mass index greater than or equal to 30 kg/m2,Participation in any other clinical study,Known allergy to local anaesthetics or any drugs used in this study,Patients not willing to participate,Presence of bleeding disorder,Presence of infection at the site of block.
结局指标
主要结局
Onset time and duration of sensory and motor block assessed using pinprick test and Modified Bromage scale in the radial, median, and ulnar nerve distributions
时间窗: Onset assessed every minute from completion of local anaesthetic injection until full block achieved intraoperatively; duration assessed at 30 minute intervals post-procedure until complete recovery, up to 24 hours after block
次要结局
- Time to first request for rescue analgesia, requirement for rescue analgesia in the first 24 hours, Visual Analogue Scale pain scores, and incidence of block-related complications including vascular puncture, pneumothorax, or nerve injury(Pain scores recorded at 2, 4, 6, 12, and 24 hours postoperatively; rescue analgesia requirement monitored throughout the first 24 hours; complications noted intraoperatively and during the postoperative 24-hour observation period)
研究者
DrAswinK
SRM Institutes for Medical Sciences (SIMS)