Internal fixation removal surgery for the clavicle
Conditions
Interventions
Group SMBSB:Subclavian muscle plane block + Supraclavicular nerve block
Sponsors
The First People's Hospital of Tianshui
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: For male and female outpatients aged over 18 years old with ASA 1-2 grade and single midshaft or medial clavicle fractures who require removal of the anatomical plate for internal fixation.
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 internal fixation removal surgeries for fractures; 5. Patients with severe diseases such as heart, vascular, brain, kidney, and liver disorders; 6. Patients with severe mental disorders or those 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. Patients with acute or chronic pain caused by reasons other than clavicle fractures, or those taking any painkillers; 10. Patients with absent subclavius muscles.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The success rate of anesthesia for the removal of internal fixation for clavicle fractures (defined as the proportion of patients who did not require general anesthesia among the total number of patients); | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of the surgery;The number of patients who experienced hemodynamic adverse events during the operation (defined as fluctuations in mean arterial pressure or heart rate exceeding 30% of the baseline value);The time when the first postoperative pain occurred;The time of the first administration of oxycodone after the surgery;The number of people whose resting pain and active pain NRS scores were greater than 3 within 48 hours;The number of people whose resting pain and active pain NRS scores were greater than 3 within 48 hours;The classification of motor block at 3, 6, 12, 24 and 48 hours after the operation;The number of cases of postoperative nausea and vomiting (PONV);The number of patients with reported nerve damage;Patient and surgeon satisfaction scores;The onset time of anesthesia (defined as the time interval from the completion of nerve block to the complete disappearance of pinprick and cold sensation on the skin surface of the clavicle);Complications related to blockage (sensory abnormalities, vascular damage, hematoma, systemic toxic reaction of local anesthetic, pneumothorax, breathing difficulty, hoarseness and choking cough, Horner's syndrome, subdural blockage and spinal cord injury);Respiratory function (including diaphragm paralysis rate, FVC, FEV1 and PEF); | — |
Countries
China
Contacts
Public ContactLi Chenguang
The First People's Hospital of Tianshui
Outcome results
None listed