Forearm Fracture
Conditions
Interventions
Combined Brachial Plexus Block Group :Ultrasound-guided interscalene-axillary combined brachial plexus block (15 mL of 0.33% ropivacaine at each site)
Single Interscalene Block Group :Ultrasound-guided single interscalene brachial plexus block (30 mL of 0.33% ropivacaine)
Sponsors
Anyue County Hospital of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age and gender (1) Age >=60 years old; (2) No restriction on gender; 2. Physical status (1) ASA physical status classification Grade I-II; 3. Fracture type (1) Unilateral fresh closed distal forearm fractures; 1) Including Colles fracture; 2) Including Smith fracture; 3) Including Barton fracture; 4. Time to consultation (1) The time from fracture onset to medical consultation <= 72 hours; 5. Informed consent (1) Voluntary participation in this study; (2) Signed informed consent.
Exclusion criteria
Exclusion criteria: 1. Combined with severe cardiovascular and cerebrovascular diseases (1) e.g., uncontrolled hypertension; (2) heart failure; (3) severe arrhythmia; 2. Contraindications to nerve block (1) Infection at the puncture site; (2) Coagulation disorders (PLT 1.5); (3) Allergy to local anesthetics; 3. Complicated with severe respiratory system diseases (1) e.g., COPD; (2) Acute exacerbation of asthma; (3) Abnormal diaphragmatic function; 4. Complicated with neurological diseases (1) e.g., peripheral neuropathy; (2) multiple sclerosis; 5. Special populations (1) Pregnant or lactating women; 6. Cognitive and mental status (1) Combined with mental illness or cognitive dysfunction; (2) Unable to cooperate with evaluation; 7. Fracture conditions (1) Bilateral fractures or multiple injuries; (2) Pathological fracture or open fracture.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of satisfactory sensory block of brachial plexus; | — |
Secondary
| Measure | Time frame |
|---|---|
| VAS pain score during reduction ;Onset time of sensory block;Duration of sensory block;Onset time of motor block;Duration of motor block;Intraoperative fentanyl rescue rate and total dose;Surgeon satisfaction with muscle relaxation;Hemodynamic parameters (heart rate, blood pressure, SpO2); | — |
Countries
China
Contacts
Public ContactYao Yi
Anyue County Hospital of Traditional Chinese Medicine
Outcome results
None listed