Health Condition 1: M959- Acquired deformity of musculoskeletal system, unspecified
Conditions
Interventions
Intervention1: Nil: Nil
Intervention2: To compare the efficacy of supraclavicular and costoclavicular brachial plexus block in patients undergoing upper limb surgeries: To compare the costoclavicular
Sponsors
MS Ramaiah medical college
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients aged between 18 to 65 years posted for elective upperlimb surgeries. 2) American Society of Anaesthesiologists (ASA) physical status 1and 2
Exclusion criteria
Exclusion criteria: 1) Pre-existing pulmonary pathologies. 2) Pre-existing known neuropathy concerning the forearm present surgery. 3) Infection on the needle insertion site. 4) Coagulopathies. 5) Pregnancy. 6) Body mass index more than 30kg/m2. 7) Allergy to local anaesthetics.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the onset of complete sensory and motor blockade at after LA injection.Timepoint: . The sensory blockade of the four nerves will be evaluated and graded every 3 mins until 30 mins after injection by double blinded observers using a 3 point scale (0 = no block , 1 = analgesia i.e patient can feel touch but not cold, 2 = anaesthesia i.e patient cannot feel touch). Motor blockade will be tested and graded according to a 3 point scale ( 0 = no block, 1 = paresis, 2 = paralysis). Motor blockade of each nerve will be evaluated by elbow flexion for (MCN), wrist flexion for (MN), wrist extension for (RN), flexion and opposition of fifth finger towards the thumb for (UN). | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the performance time, number of needle passess and duration of analgesia between the two techniques. To assess the incidence of complications such as hemidiaphragmatic dysfunction, pneumothorax, Horners syndrome and vessel puncture. To assess the incidence of block failure or rescue analgesia. Timepoint: VAS score will be assessed to elicit the duration of post operative analgesia at predetermined time intervals 0th (at the onset of sensory blockade), 2, 4, 6, 12, 18, 24th hour. To assess the incidence of diaphragmatic dysfunction,anaesthesiologist will perform repeat ultrasound within 1 hour of the patient s arrival in the recovery room after the surgery. | — |
Countries
India
Contacts
Public ContactDr Geetha CR
MS Ramaiah Medical College and Hospital
Outcome results
None listed