Forearm laceration. Injury of nerves at forearm level, Injury of muscle and tendon at forearm level
Conditions
Interventions
Intervention 1: In group 1, 28 cc lidocaine 1.5% plus 2cc distilled water will administer. Intervention 2: In group 2, 28 cc lidocaine 1.5% plus 8mg Dexamethasone will administer. Intervention 3: In g
Placebo
Prevention
In group 1, 28 cc lidocaine 1.5% plus 2cc distilled water will administer.
In group 2, 28 cc lidocaine 1.5% plus 8mg Dexamethasone will administer
In group 3, 28 cc lidocaine 1.5% plus 1µgr/kg Dexmedetomidine will administer.
Sponsors
Vice Chancellor for research Qazvin University of Medical Sciences
Eligibility
Sex/Gender
All
Age
20 Years to 60 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: Patients 20–60 years old; with American Society of Anesthesiologists (ASA) physical status I or II; scheduled for elective forearm surgery. Exclusion criteria: Presence of underlying diseases such as coagulopathy, peripheral vascular diseases and neuropathy; patient’s avoidance; any history of allergy to local anesthetics; treatment with palliative drugs and those affecting the CNS; addiction; neurologic deficit in respective organ; infection in the site of injection; pregnancy; BMI?20 & BMI>40; the use of drugs which interfere with lidocaine such as beta blockers, cimetidine, phenytoin.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain. Timepoint: In 2, 4 and 6 hours after infraclavicular block. Method of measurement: Visual analogue Scales(VAS).;Total analgesic dose administered. Timepoint: During 6 hrs after the infraclavicular block ( With interval 2hrs). Method of measurement: Patient file. | — |
Secondary
| Measure | Time frame |
|---|---|
| Onset of sensory and motor block. Timepoint: From the start of anesthetics injection. Method of measurement: Evaluate the patient’s response to needle hitting on surgical site and griping force.;Time of duration of sensory block. Timepoint: The time interval between the time of loss of pain sensation at forearm to reappearance of paresthesia. Method of measurement: Pin-prick test.;Hemodynamic variables of the block. Timepoint: In 5, 10, 15, 20 and 30 minutes after infraclavicular block. Method of measurement: Monitoring system.;Time of duration of motor block. Timepoint: The time interval between the time of loss of pain sensation at forearm to complete recovery of motor function. Method of measurement: Gripping force test. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Hoda Shehamat
Qazvin University of Medical Sciences
Outcome results
None listed