Motor Sparing Supraclavicular Brachial Plexus Block (MS-SCBPB): A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 44
- 试验地点
- 2
- 主要终点
- Duration of motor blockade
研究概览
简要总结
This study aims to compare MS-SCBPB and SCBPB in the duration of postoperative analgesia, time to first analgesic request (VAS ≥40 mm), pain scores, motor power, and side effects.
详细描述
On arrival of the patients to regional anesthesia room, patients will be secured with 20-gauge intravenous cannula. Monitoring will include ECG, non-invasive arterial blood pressure, and pulse oximetry (SpO2).
Before receiving supraclavicular brachial plexus block, patients will be randomly assigned into one of the two study groups:
MS-SCBPB Group (n=22): this group will receive ultrasound-guided supraclavicular brachial plexus block with total volume 20 mL bupivacaine 0.20% and 8 mg dexamethasone.
SCBPB Group (n=22): this group will receive ultrasound-guided supraclavicular brachial plexus block with total volume 20 mL bupivacaine 0.5% and 8 mg dexamethasone.
Another doctor not involved in the block procedure will evaluate the patients postoperative.
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)
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients scheduled for upper limb surgeries under supraclavicular brachial plexus block
- •American Society of Anesthesiologists (ASA) status I and III
- •between ages of 18 and 60 years
排除标准
- •Bleeding disorders with INR > 1.5 and/or platelets < 100,000/mm3
- •infection at the injection site
- •Allergy to local anesthetics
- •Severe cardiopulmonary disease (≥ASA IV)
- •Diabetic or other neuropathies
- •Motor disorders
- •Patients receiving opioids for chronic analgesic therapy
- •Inability to comprehend visual analogue scale (VAS).
结局指标
主要结局
Duration of motor blockade
时间窗: 24 hours
Duration of motor blockade
次要结局
- Time to first analgesic request(24 hours)
- Total morphine requirements(24 hours)
- Visual analogue scale (VAS)(24 hours)
- Time needed for complete recovery from sensory and motor block at 2, 4, 6, 12, 18, and 24 hours postoperatively.(24 hours)
- Time needed for surgical block:(24 hours)
研究者
Nagy Malak , MD
Lecturer of anesthesia ,SICU and pain
Cairo University