Musculoskeletal disease of the upper limb that require surgery under regional anesthesia
Conditions
Interventions
Two groups:one injection at the center of the three cords (Brachial plexus) via single skin puncture (Single injection) versus have a single skin puncture and then the needle will be redirected under
Sponsors
Department of Anaesthesia & Intensive Care, CUHK
Eligibility
Sex/Gender
All
Age
20 Years to 70 Years
Inclusion criteria
Inclusion criteria: patients who are between 20 to 70 years of age, of American Society of Anesthesiologist physical status I to III and planned for arm, forearm and hand surgery under regional anesthesia.
Exclusion criteria
Exclusion criteria: Patients who refuse regional anesthesia or unwilling to participate in the study; ASA physical status more than III; Pregnant patients; Patients with neuromuscular disorder; Prior surgery in the medial infraclavicular area ipsilateral to the site of surgery; patients who are coagulopathic or taking anticoagulants; patients suffering from dysaesthesia or chronic neuropathic pain at the site of surgery; history of local anesthetic allergy; skin infection over the site of block.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of patient achieving complete block (both sensory score = 0 and motor score = 0); | — |
Secondary
| Measure | Time frame |
|---|---|
| the time to complete blockade and time to readiness for surgery (sensory score = 30 and motor score = 1), block performance time, incidence of paresthesia during performing the block & complication of the technique; degree of discomfort experience by patient during injection; | — |
Countries
China
Contacts
Public ContactManoj Kumar Karmakar
Prince of Wales Hospital; The Chinese University of Hong Kong
Outcome results
None listed