Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Group C5: C5 nerve root block (using 3ml) and a supraclavicular nerve block (using 3ml LA) will be given once for analgesia before start of proedure
Control Intervention1: Group SCUT: a
Sponsors
Sancheti Institute of Orthopedics and Rehabilitation
Eligibility
Inclusion criteria
Inclusion criteria: All adult patients (18 years and over) scheduled for mid-shaft and lateral shaft clavicular fracture repair using a nerve block as anesthesia.
Exclusion criteria
Exclusion criteria: 1. Patients who refused to participate in the study. 2. Patients with a history of cardiac, renal, or hepatic disease. 3. patients with pre-existing neurologic deficits or neuropathy affecting the brachial plexus. 4. patients with contraindications to peripheral nerve block 6. patients with known allergies to local anesthetic drugs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of diaphragmatic paresis or paralysis assessed as change in the diaphragmatic excursion (measured bilaterally using ultrasonography) due to the regional block after shifting to PACU.Timepoint: baseline, one time after shifting to recovery in PACU and at 24 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Time to the first analgesic 2. Pain scores for all patients will be recorded through the first 24 hours postoperatively using the Visual analogue scale (ranging from 0 to 10, 0 is no pain and 10 is the worst imaginable pain). 3. Intraoperative fentanyl consumption in the two groups 4. Need for general anaesthesia 5. Intraoperative hemodynamic changes in the two groups. 6. Opioid Consumption (tramadol) in the recovery room and in the first 24 hours postoperatively will be recorded 7. Patient-reported adverse effects like dyspnea, biceps/triceps/hand weakness, hemidiaphragmatic paralysis (20min post-block and 24 hours after surgery), Horner syndrome, hoarseness, and difficulty participating in physical therapy due to block will be recorded over 48 hours post-surgery 8. Patient satisfaction with the nerve block.Timepoint: time to first rescue analgesic anagesic when patient needs analgesia pain scores 0,2,4,8,12 and 24 hours fentanyl consumption during surgery need for GA as per incidence hemodynamic at 10 min interval side effects occurence will be recorded in first 24 hours patient satisfaction after surgery | — |
Countries
India
Contacts
Public ContactDr Sandeep Diwan
Sancheti Institute of Orthopedics and Rehabiliation
Outcome results
None listed