Clavicular fracture
Conditions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients of both genders with ASA 1-2 grade, aged over 18 years, and single midshaft or medial clavicle fractures
Exclusion criteria
Exclusion criteria: 1. Patients who refused to participate in this study; 2. Patients who cannot cooperate or communicate in Chinese; 3. Patients participating in other clinical studies; 4. Patients with multiple fractures, including fractures in the head, chest, pelvis, limbs or the contralateral clavicle; 5. Patients with serious diseases such as heart, vascular, brain, kidney, liver, etc.; 6. Patients with severe mental disorders or taking any mental medications; 7. Patients with contraindications to non-steroidal anti-inflammatory drugs; 8. Patients with contraindications to regional anesthesia (severe nerve damage, coagulation dysfunction, local infection at the blocking site, systemic infection and/or allergy to local anesthesia); 9. Acute or chronic pain caused by reasons other than clavicle fractures, or patients taking any painkillers; 10. Patients with absent subclavius muscle.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The proportion of patients who do not require additional sufentanil during the operation; | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of the surgery;The rate of general anesthesia is defined as the proportion of patients who undergo nerve block or switch to general anesthesia during the operation out of the total number of patients.;The number of patients who experienced hemodynamic adverse events during the operation is defined as a fluctuation in mean arterial pressure or heart rate that exceeds 30% of the baseline value.;The time when the first postoperative pain occurred;The time of the first oral administration of oxycodone after the surgery;The consumption of oxycodone after surgery;The numerical rating scale (NRS) scores for resting pain and movement pain (active or passive flexion, abduction, and rotation of the upper arm) at 3, 6, 12, 24, and 48 hours after the operation;The levels of motor blockage at 3, 6, 12, 24 and 48 hours after the operation;The number of patients who experienced postoperative nausea and vomiting (PONV);The number of patients reporting nerve damage;The onset time of anesthesia is defined as the time interval from the completion of nerve block until the skin on the clavicle completely loses the sensation of needle insertion and cold perception, and at the same time, the clavicle tenderness palpation disappears.;Complications related to blockage (including sensory abnormalities, vascular damage, hematoma, systemic toxic reactions of local anesthetics, pneumothorax, breathing difficulties, hoarseness and choking cough, Horner's syndrome, subdural blockage and spinal cord injury);Respiratory function (including diaphragm paralysis rate, FVC, FEV1 and PEF);Systolic Blood Pressure;Diastolic Blood Pressure;Heart Rate;Peripheral Oxygen Saturation; | — |
Countries
China
Contacts
The First People's Hospital of Tianshui