Congenital Thumb Deformity
Conditions
Interventions
1:Ultrasound-guided combined median nerve and superficial branch of radial nerve block
2:Ultrasound-guided axillary brachial plexus block
Sponsors
Department of Anesthesiology, Children's Hospital of Soochow University
Eligibility
Sex/Gender
All
Age
1 Years to 6 Years
Inclusion criteria
Inclusion criteria: Age: Children aged 1–6 years undergoing thumb surgery suitable for combined nerve block and general anesthesia. Surgery type: Planned unilateral thumb orthopedic surgery, with preoperative physician assessment indicating feasibility of either distal nerve block or brachial plexus block. ASA classification: Grade I–II (low-risk children according to the American Society of Anesthesiologists criteria). Informed consent: Written informed consent obtained from a parent or legal guardian.
Exclusion criteria
Exclusion criteria: 1. Allergy to local anesthetics or opioids; 2. Congenital or acquired neuropathy affecting sensory or motor function of the upper limb; 3. Coagulation abnormalities or current use of anticoagulant medications; 4. Infection, skin breakdown, or inflammation of the upper limb that may interfere with block performance; 5. Severe cardiac, pulmonary, hepatic, or renal dysfunction, or systemic disease (ASA >= III); 6. Previous surgery or trauma causing anatomical abnormalities of the affected upper limb that may interfere with block performance; 7. Parental refusal or inability to cooperate with follow-up assessments.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pain score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Severity of upper limb motor impairment; | — |
Countries
China
Contacts
Public ContactQing Yuan
Children's Hospital of Soochow University
Outcome results
None listed