Health Condition 1: M958- Other specified acquired deformities of musculoskeletal system
Conditions
Interventions
Intervention1: Group 10 ml: Group A will receive 10 ml of local anaesthetic (mixture of 2 % lignocaine with adrenaline and 0.5 % bupivacaine) 3 ml into upper trunk, 3 ml into middle trunk and 4 ml int
Sponsors
Mahatma Gandhi Medical College and Research Institute
Eligibility
Inclusion criteria
Inclusion criteria: 1. Elective right sided upper limb bony surgeries of humerus, elbow and forearm under brachial plexus block 2. American Society of Anaesthesiologist physical status 1-3
Exclusion criteria
Exclusion criteria: 1.Patients with fractures of the clavicle, 2. BMI > 30, 3.Patients with rib fractures, 4. Pre-existing respiratory disorders, 5. Patients with coagulopathy and pre-existing nerve deficits of the brachial plexus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of phrenic nerve palsy: Reduction in the hemi diaphragmatic excursion by at least 75 % from the baseline value during deep breathing Timepoint: 30 minutes post block | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of analgesia: Time interval between needle removal & patient reported painTimepoint: The time patient reports pain is taken as the time point for assessment of duration of analgesia;Duration of the motor block: Time to recover to 5 kg of hand grip strength assessed using dynamometerTimepoint: Every hour for the first 12 hours & every 4 hours for the next 12 hours;Time to complete conduction blockade of terminal branches of brachial plexus: Time to reach a total composite score of 20/20 of complete sensory & motor blockade assessed at specific dermatome & muscle function of five terminal branches of the brachial plexusTimepoint: 10,20 & 30 minutes post block | — |
Countries
India
Contacts
Public ContactDr Charulatha R
Mahatma Gandhi Medical College and Research Institute
Outcome results
None listed