Intravenous regional anesthesia. Injuries to the wrist and hand AND Injuries to the elbow and forearm
Conditions
Interventions
Intervention 1: A double tourniquet was fastened over the arm of the extremity which needed surgery. In the control group local anesthetic solution, 3mg/kg lidocaine with distilled water up to a volum
Treatment - Drugs
Treatment - Other
A double tourniquet was fastened over the arm of the extremity which needed surgery. In the control group local anesthetic solution, 3mg/kg lidocaine with distilled water up to a volume of 40 cc was i
A double tourniquet was fastened over the arm of the extremity which needed surgery. In the study group local anesthetic solution, 3 mg/kg lidocaine and 8 mg dexamethasone with distilled water up to a
Sponsors
Vice chancellor for research, Hormozgan University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Inclusion criteria: ASA class I-II, 15 to 65 years old, upper limb injuries distal to the elbow. Exclusion criteria: Muscle-nerve-skin diseases, allergic reactions, general anesthesia requirement due to inadequate regional anesthesia.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sensory block onset. Timepoint: 30 seconds. Method of measurement: Pinprick test (needle 22 gauge bevel).;Sensory block recovery. Timepoint: 30 seconds. Method of measurement: pinprick test (with needle 22 gauge bevel).;Time to first request of analgesic in recovery. Timepoint: 15, 30, 45, and 60 minutes after intervention. Method of measurement: minutes.;Intraoperative opium consumption. Timepoint: 1 hours. Method of measurement: Total fentanyl consumption dose (micro-gram).;Patients satisfaction. Timepoint: 1 hours. Method of measurement: Excellent: if there is no complain during operation. Good: if there is mild discomfort but without the need of analgesia during operation. Moderate: if the patient has discomfort and needs analgesia. Poor: If the patient receives 2 doses of fentanyl (1 microgram/kg) but still has discomfort, and requires sedative doses of propofol (25-75 microgram/kg/min) to tolerate the procedure. | — |
Secondary
| Measure | Time frame |
|---|---|
| Systolic blood pressure. Timepoint: Baseline, 5 minutes after tourniquet inflation, 20 minutes after tourniquet inflation, immediately after tourniquet deflation, in recovery. Method of measurement: Non-invasive automatic blood pressure monitoring device.;Diastolic blood presure. Timepoint: Baseline, 5 minutes after tourniquet inflation, 20 minutes after tourniquet inflation, immediately after tourniquet deflation, in recovery. Method of measurement: Non-invasive automatic blood pressure monitoring device.;Mean arterial blood pressure. Timepoint: Baseline, 5 minutes after tourniquet inflation, 20 minutes after tourniquet inflation, immediately after tourniquet deflation, in recovery. Method of measurement: Non-invasive automatic blood pressure monitoring device.;Heart rate. Timepoint: Baseline, 5 minutes after tourniquet inflation, 20 minutes after tourniquet inflation, immediately after tourniquet deflation, in recovery. Method of measurement: Beats per minute by an electrocardiographic monitoring device. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactDr. Manuchehr Kamali
Hormozgan University of Medical Sciences
Outcome results
None listed