proximal humerus fracture
Conditions
Interventions
ICTP:IC+T2 PVB
IC:interscalene brachial plexus and cervial plexus block
Sponsors
Department of Anesthesiology, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1) Agree to join the study and obtain informed consent; 2) Aged 65 years or older; 3) BMI < 30 4) American Society of Anesthesiologists (ASA) Classification I-II; 5) Open reduction and internal fixation for unilateral proximal humeral fracture.
Exclusion criteria
Exclusion criteria: 1) T2 paravertebral block can not be performed for various reasons; 2) Patients with coagulation dysfunction or receiving anticoagulation therapy; 3) Persons with a history of upper limb nerve injury or phrenic nerve injury; 4) Compound injury; 5) Preoperative Pulse Oxygen Saturation(SPO2)180 mmHg or diastolic blood pressure>110 mmHg) 7) Uncontrolled coronary heart disease, valvular heart disease and arrhythmia before operation; 8) Any reason that causes nerve block impossible to be performed (e.g. local infection at puncture site, swelling, unable to change position, etc.); 9) Fail to communicate or cooperate (mental retardation, Alzheimer, Parkinson, etc.); 10) Be allergic to ropivacaine or has other contraindications for nerve block.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| success rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| sensory block;Proportion of patients who can complete surgery with remifentanil;proportion of general anesthesia;Dosage of vasoactive drugs;NRS at 12H postoperation; | — |
Countries
China
Contacts
Public ContactXiaofeng Wang
Department of Anesthesiology, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital
Outcome results
None listed