Health Condition 1: S422- Fracture of upper end of humerus
Conditions
Interventions
Intervention1: interscalene brachial plexus block: Interscalene block will be given under ultrasound guidance once before incision
Control Intervention1: cervical erector spina plane block: cervical e
Sponsors
Sancheti Institute of Orthopedics and Rehabilitation
Eligibility
Inclusion criteria
Inclusion criteria: All adult patients (18 years and over) scheduled for fracture proximal humerus repair using a nerve block as part of their anesthetic care
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. 5. Patients with known allergies to local anesthetic drugs.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.Incidence of diaphragmatic paresis or paralysis assessed as change in the diaphragmatic excursion (measured bilaterally using ultrasonography)Timepoint: Once After shifting to PACU. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. time to first analgesic 2. pain scores 3. intraoperative fentanyl consumption 4. Postoperative opioid use 5. overall satisfactionTimepoint: 1. time to first analgesic: in the postoperative period 2. pain scores: tim3 0,1 ,4, 8 ,24 hours 3. intraoperative fentanyl consumption during surgery 4. Postoperative opioid use in first 24 hopurs 5. overall satisfaction at 24 hours | — |
Countries
India
Contacts
Public ContactDr Sandeep Diwan
Sanchti Institute of Orthopedics and Rehabilitation
Outcome results
None listed