Fracture of distal humerus
Conditions
Interventions
PM Group:Ultrasound guided brachial plexus block and intercostobrachial nerve block (performed between pectoralis minor and serratus anterior)
AR Group:Ultrasound guided brachial plexus block and intercostobrachial nerve block (in axillary region)
S Group:Ultrasound guided brachial plexus block and local anesthetics (injected subcutaneously at the root of the upper arm near the armpit, along the medial side of the upper arm to the lower edge of
PV Group:Ultrasound guided brachial plexus block and T2 paravertebral block
Sponsors
Department of Anesthesiology, Shanghai Sixth People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1) Consent to join the study and obtain informed consent; 2) Aged 18-75 years(inclusive); 3) American Society of anesthesiologists (ASA) grade I-II; 4) Patients diagnosed with distal humeral fractures undergoing selective open reduction; 5) The surgical approach was the posterolateral median incision of elbow joint, and the operation position was lateral or prone position.
Exclusion criteria
Exclusion criteria: 1) The patient refused regional anesthesia; 2) More than 5 years history of diabetes; 3) History of drug allergy; 4) Clinical cognitive impairment (mini mental state score < 24); 5) Chronic pain symptoms; 6) Clinical and subclinical nerve injury; 7) Patients with history of malignant tumor, radiotherapy and pathological fracture; 8) Puncture site infection; 9) History of pregnancy and peripheral neuropathic pain.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Range of sensory block;Sensory score;The patient complained of pain;Intraoperative opioid use; | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS score 48 hours after operation;Conversion rate to general anesthesia; | — |
Countries
China
Contacts
Public ContactChen Moxi
Department of Anesthesiology, Shanghai Sixth People's Hospital
Outcome results
None listed