Health Condition 1: S62- Fracture at wrist and hand level Health Condition 2: S52- Fracture of forearm Health Condition 3: S50-S59- Injuries to the elbow and forearm Health Condition 4: S60-S69- Injuries to the wrist, hand and fingers Health Condition 5: S00-T88- Injury, poisoning and certain other consequences of external causes Health Condition 6: S529- Unspecified fracture of forearm Health Condition 7: S629- Unspecified fracture of wrist andhand
Conditions
Interventions
Intervention1: Classical infraclavicular block: USG and PNS guided CIB under all aseptic precautions with injection Levobupivcaine 0.5% 15ml and injection lignocaine 2% 15ml
-Procedure time - From th
Sponsors
GMERS Medical college and Hospital
Eligibility
Inclusion criteria
Inclusion criteria: 1)Age: 18-60 years 2)BMI: 3) American society of anaesthesia grading: I and II 4) Forearm, hand and wrist fractures
Exclusion criteria
Exclusion criteria: 1) Patient refusal 2) Allergy to LA 3) Local site infection 4) Anatomical distortion of clavicle 5) Polytrauma 6) Pre-existing neurological deficit 7) Pre-existing systemic illness like uncontrolled hypertension, ischemic heart disease, severe pulmonary disease, renal or hepatic dysfunction,sepsis 8) Surgeries requiring tourniquet 9) Coagulopathy 10) Patients with hearing disability, dementia, psychiatric illness or mentally challenged, having language barrier, who cannot express scoring system used in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the procedure time between both the groupsTimepoint: -Procedure time (at baseline) - From the contact of the ultrasound probe with the patient to the removal of needle | — |
Secondary
| Measure | Time frame |
|---|---|
| ComplicationsTimepoint: Complications if occur any will be observed intra-operative period;Needle passesTimepoint: During the procedure, number of times the needle required redirection or retraction of at least 10 mm for â?¥2 times will be recorded as an â??additional passâ??.;Needle visibilityTimepoint: Whole needle with tip-3 Needle course partially seen-2 Only needle impression-1 ;To compare onset of sensory & motor block in both groupsTimepoint: After LA injection, sensory & motor blockade will be evaluated by an observer every 5 min, until 30 min.;To compare success ratesTimepoint: Block success: When a minimal composite sensorimotor score of 14 is achieved, the surgeon can proceed with surgery. Block failure: Patients requiring supplemental analgesia, additional LA, general anaesthesia or having composite sensorimotor score 14 will be considered as a failure of study. | — |
Countries
India
Contacts
Public ContactDr Bhavesh Dalwadi
GMERS medical college and hospital, Gotri, Vadodara
Outcome results
None listed