Health Condition 1: G09- Sequelae of inflammatory diseasesof central nervous system
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Participants must meet all of the following: Clinical diagnosis of upper limb sympathetically mediated pain (CRPS, Raynaud s phenomenon, ischaemic sympathetic pain, and post-herpetic neuralgia). Pain score more than or equal to 4/10 on the Numerical Rating Scale (NRS). Presence of sympathetic features such as vasomotor instability, temperature asymmetry, allodynia, or colour change. Ability to provide written informed consent. Participants aged 7 65 years were selected, as children above 7 years can reliably report pain using the Numerical Rating Scale, while the upper age limit was defined to reduce confounding due to advanced age-related vascular and neurological comorbidities.
Exclusion criteria
Exclusion criteria: Local infection at the neck or injection site. Known coagulopathy or bleeding disorder. Allergy to local anaesthetic drugs. Severe cardiopulmonary instability. History of cervical spine surgery or significantly altered neck anatomy. Pregnant or lactating women. Active psychiatric illness that affects pain reporting. Unwillingness to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity (sponataneous and provoked) using Numerical Rating Scale (NRS) Timepoint: The outcome will be assessed/estimated at 0 hrs, 15 min, 30 min, 60 min, 4 hrs and 24 hrs. Given the daycare nature of the procedure, follow-up will also be conducted telephonically at 7 days and 1 month, or until discharge in admitted patients. | — |
Secondary
| Measure | Time frame |
|---|---|
| Total opioid consumption within 24 hours post-procedure Functional score changes (simple validated questionnaire) Patient satisfaction score Adverse eventsTimepoint: The outcome will be assessed at 0 hrs, 15 min, 30 min, 60 min, 4 hrs & 24 hrs. Given the daycare nature of the procedure, follow-up will also be conducted telephonically at 7 days & 1 month, or until discharge in admitted patients. | — |
Countries
India
Contacts
Department of Anesthesiology All INDIA INSTITUTE OF MEDICAL SCIENCES NAGPUR