Finger Injury, Hand Injury, Wrist Injury
Conditions
Keywords
hand surgery, wrist surgery, finger surgery, anesthesia, regional anesthesia, postoperative pain
Brief summary
The purpose of this study is to compare two different injection sites for local anesthesia in patients having hand surgery. The hypothesis is that subjects receiving injections around the three nerves of the forearm will provide faster pain control and greater patient satisfaction than patients having one injection closer to the shoulder.
Interventions
PROCEDURE0.5% bupivacaine injected in the forearm
Median, Ulnar, and Radial nerve blocks performed in the forearm
PROCEDURE20-30ml of 0.5% bupivacaine.
supraclavicular, infraclavicular, or axillary nerve block using 20-30ml of 0.5% bupivacaine.
Sponsors
Jose Soberon, MD
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients ≥ 18 years of age undergoing unilateral hand, wrist, or finger surgery * Ability to understand and provide informed consent * American Society of Anesthesiologists (ASA) status I-III
Exclusion criteria
* Patient refusal or inability to provide informed consent * True allergy, not sensitivity, to any of the following substances: Local Anesthetics, Midazolam, Fentanyl, Hydromorphone, Propofol * Pregnancy * Severe hepatic impairment * Evidence of infection at or near the proposed needle insertion site * Any sensorimotor deficit of the ipsilateral upper extremity, whether acute or chronic, as determined by the PI and designee * Pulmonary disease of any kind that is uncontrolled or severe in nature * Chronic pain patients, defined as someone diagnosed with chronic pain or a chronic pain condition, under the care of a chronic pain physician, or taking oral/intravenous narcotics consistently for 30 days prior to surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| success of block | up to 30 minutes after injection | number of participants that needed additional anesthesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain scores | up to 10 days after surgery | change in pain scores |
Other
| Measure | Time frame | Description |
|---|---|---|
| time to complete injection | up to 30 minutes | difference between the end of injection time and the beginning |
Countries
United States
Outcome results
None listed