Health Condition 1: O- Medical and Surgical Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Intervention1: USG guided brachial plexus block: USG guided infraclavicular brachial plexus block in complex hand injuries in trauma emergency
Duration of therapy- 5 days
Control Intervention1: OPOIDS
Sponsors
PGIMER
Eligibility
Inclusion criteria
Inclusion criteria: 1)ASA Grade 1/2 2)Proven complex unilateral hand injuries such as flexor tendon cut injury crushed hand injuries >2 metacarpel bone fractures
Exclusion criteria
Exclusion criteria: 1)Requiring surgical management within half an hour of hospital admission 2)Sensory deficits in the arm 3)Coagulopathy/ Vascular injuries of forearm 4)Haemodynamically unstable patients/requiring urgent care 5)Concomitant head injuries/ polytrauma patients 6)Patients with extensor tendon injuries/single metacarpel fracture/phalangeal fractures, bilateral hand injuries 7)Clinical features suggestive of compartment syndrome of forearm
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain scores as assessed by Numeric Rating Scale(NRS) one hour following intervention Timepoint: 1 year | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. NRS score 2. Time for first rescue analgesia 3. Total i.v analgesics consumed 4. Patient satisfaction 5. any Adverse effectsTimepoint: 10 month | — |
Countries
India
Contacts
Public ContactKajal jain
PGIMER
Outcome results
None listed