Health Condition 1: 2- Placement
Conditions
Interventions
Intervention1: To find Minimum effective volume of 0.5% Ropivacaine For Ultrasound guided Costoclavicular Block: Costoclavicular Block with 0.5% Ropivacaine (initially 20 ml) given and Onset of Sensor
Sponsors
VMMC and Safdarjung Hospital
Eligibility
Inclusion criteria
Inclusion criteria: All Adults posted for Elbow Forearm Wrist and Hand surgeries ASA grade I/II Body Mass Index 18 to 35 kg /m 2
Exclusion criteria
Exclusion criteria: Sepsis or Infection at the site of Injection Pre-existing Peripheral Neuropathy and Coagulation disorder Known Allergy to Local Anaesthetic drugs
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Minimum Effective Volume of 0.5% Ropivacaine is calculated by titrating the volume of the drug according to block success or failure in previous patient.Block Success is when Minimal Composite score of 14 out of 16 points achieved(Total Composite score is 16;8 for Sensory and 8 for Motor blockade)Onset of Sensory blockade assessed by cold test(0 no block,1 Analgesia-can feel touch not cold,2 Anaesthesia-cannot feel touch)and Motor blockade by a 3 point scale(0 no block,1 paresis,2 paralysis)Timepoint: 8 time points:time 1, immediately after the procedure;time 2,five minutes after completion of the procedure;time 3,ten minutes after the procedure;time 4, fifteen minutes after the procedure;time 5, twenty minutes after the procedure;time 6, twenty five minutes after the procedure;time 7,thirty minutes after the procedure,time 8,thirty five minutes after the procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess the Onset time of blockade(time from the injection of LA to achieving a Minimal Composite score of 14)and block performance time(Sum of Imaging time-Time interval between contact of USG probe and getting a satisfactory picture plus needling time-From Start of Skin wheal to the end of Local Anaesthetic injection)Timepoint: 8 time points:time 1, immediately after the procedure;time 2,five minutes after completion of the procedure;time 3,ten minutes after the procedure;time 4, fifteen minutes after the procedure;time 5, twenty minutes after the procedure;time 6, twenty five minutes after the procedure;time 7,thirty minutes after the procedure,time 8,thirty five minutes after the procedure | — |
Countries
India
Contacts
Public ContactTHANUJA B
VMMC and Safdarjung Hospital.
Outcome results
None listed