Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. All adults posted for surgeries of distal humerus, elbow, forearm, wrist and hand. 2. Age group : 18-65 years 3. ASA grade - 1,2 4. Body mass index of 18 to 35 kg/sq.m
Exclusion criteria
Exclusion criteria: 1. Patients not giving consent for the block 2. Patients not able to understand the procedure and risks associated with it 3. Known neuropathy or injury of musculocutaneous, radial, ulnar or median nerve 4. Abnormal neck or shoulder anatomy 5. Any history of previous surgery in supraclavicular or infraclavicular fossa 6. Patients with decreased mentation or altered sensorium 7. Patients with any local site infection 8. Any other surgical contraindications for regional anaesthesia 9. ASA grade 3 or more 10. Patients with local anaesthetic allergy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of sensory blockade of median, radial, ulnar and musculocutaneous nerves in both groupsTimepoint: 5,10,15,20,25,30 minutes after nerve block | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparison of motor blockade of median, radial, ulnar and musculocutaneous nerves in both groupsTimepoint: 5,10,15,20,25,30 minutes after nerve block;Comparison of time taken to perform block in both groupsTimepoint: During the nerve block;Comparison of time taken to achieve sensory anaesthesia in both groupsTimepoint: 5,10,15,20,25,30 minutes after nerve block;Comparison of time taken to achieve motor blockade in both groupsTimepoint: 5,10,15,20,25,30 minutes after nerve block;Comparison of incidence of phrenic nerve palsy in each groupTimepoint: Baseline (before giving nerve block) and 30 minutes after nerve block;Assessment of patient discomfort during the procedure by VAS scoreTimepoint: During nerve block;Success or feasibilty of discovering all three trunks in selective trunk blockTimepoint: During nerve block | — |
Countries
India
Contacts
All India Institute of Medical Sciences, New Delhi