Health Condition 1: M849- Disorder of continuity of bone, unspecified
Conditions
Interventions
Intervention1: Ultrasound guided costoclavicular block: patient will be positioned supine and head turned slightly opposite to the operating side of the arm in which block will be given. Ipsilateral a
Sponsors
Goverment Medical College
Eligibility
Inclusion criteria
Inclusion criteria: Patient posted for distal arm and forearm surgeries BMI- less than 30 ASA I, II Duration of Surgery Less than 3 hrs. Patient able to give written and informed consent.
Exclusion criteria
Exclusion criteria: Patient not willing for procedure. Existing neurological deficit in the upper limb, history of neck surgery or radiotherapy, severe pulmonary disease like already compromised respiratory system, chest deformity Contraindications to peripheral nerve block condition like allergy to local anaesthetics, coagulopathy, infection in the area Pregnancy and lactating women Patients with significant history of drug or alcohol abuse, psychiatric illness. If patient required General anaesthesia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To measure percentage reduction in diaphragmatic thickness fraction with help of M mode of ultrasound.Timepoint: before and after 30mins of block. | — |
Secondary
| Measure | Time frame |
|---|---|
| To measure the percentage reduction in diaphragmatic excursion using M-mode ultrasonographyTimepoint: before and after 30mins of block.;To measure peak expiratory flow rate and forced expiratory volume in one second.Timepoint: before and after 30mins of block.;To observe changes in respiratory rate and peripheral oxygen saturation.Timepoint: before and after 30mins of block.;To assess the time to onset of complete sensory blockade and the duration of sensory blockadeTimepoint: After giving block and postoperatively.;To assess the time to onset of complete motor blockade and the duration of motor blockadeTimepoint: After giving block and postoperatively;To monitor Haemodynamic parametersTimepoint: Perioperatively;To observe and document any perioperative complicationsTimepoint: 24 hours after giving block | — |
Countries
India
Contacts
Public ContactDr Nimisha Brahmbhatt
Government Medical College Baroda
Outcome results
None listed