rebound pain after nerve block in patients with upper extremity fractures
Conditions
Interventions
control group:normal saline
Dexamethasone group 1:Intravenous bolus of 5 mg of dexamethasone is given immediately after completion of the nerve block
Dexamethasone group 2:Intravenous bolus of 10 mg of dexamethasone is given immediately after completion of the nerve block
Sponsors
The Second Hospital of Shandong University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Patients undergoing upper limb fracture surgery (elbow and below) under supraclavicular brachial plexus block; 2. Age range from 18 to 80 years old; 3. ASA is classified as Level I or II; 4. All patients or family members sign informed consent forms; 5. All signed informed consent forms for postoperative pain relief within 48 hours after surgery, and all used sufentanil for postoperative pain relief;
Exclusion criteria
Exclusion criteria: 1. Allergy or contraindications to the drugs used in the test; 2. Coagulation disorders; 3. Patients with preoperative nerve injury; 4. Diabetics; 5. Patients taking sedative, analgesic and psychotropic drugs for a long time; 6. Inability to cooperate with pain scoring; 7. Refusal to use self-controlled analgesia (PCA); 8. Failure of nerve block; 9. Infection or damage to the puncture site; 10. Failure to complete intraoperative data collection and postoperative follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of rebound pain at 24 hours after operation; | — |
Secondary
| Measure | Time frame |
|---|---|
| Time of onset, duration and intensity of rebound pain;Postoperative complications (nausea and vomiting, infections, etc.);Number of PCIA self-administrations and rescue analgesic consumption at 48 hours;Pain scores at scheduled time points;Duration of nerve block; | — |
Countries
China
Contacts
Public ContactZhang Ru Meng
The Second Hospital of Shandong University
Outcome results
None listed