Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ASA I , II , III Upper extremity surgery
Exclusion criteria
Exclusion criteria: Body Mass Index > 35 kg m-2 Surgery duration > 180 minutes Contraindications to peripheral nerve block - bleeding diathesis, local skin infection, coagulation abnormalities Pregnancy Severe cognitive/psychiatric history Neuropathy of any cause Clavicular fracture Severe respiratory disease Chest/shoulder deformities on operative side Allergy to Dexamethasone/local anaesthetic Pre-existing chronic pain requiring opioid medications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To measure and compare the time duration of analgesia in all the three groupsTimepoint: The patients will be assessed for sensory and motor block scores soon after block injection, till 30 minutes. VAS scores assessed immediately in post operative period and at regular intervals till the first onset of pain within 24 hours of block injection. | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare in all the three groups, the duration of motor block, the documentation of cumulative intra & post-operative opioid consumption and the incidence of adverse events. Timepoint: Immediately after block injection, sensory and motor block scores will be assessed for 30 min. Motor block will be assessed till regain of limb movements. For the first 24 hours after block injection if complaints of pain, then the rescue opioid will be administered and the total opioid given will be calculated. The patient will be assessed for any adverse events like post operative nausea and vomiting, weakness or paresis of the limb till the time of discharge. | — |
Countries
India
Contacts
M S Ramaiah Medical College and Hospital