Acute Pain
Conditions
Keywords
Clavicle
Brief summary
The sensory innervation of the clavicle remains an area of debate. Regional nerve blocks aimed at relieving pre- and post-operative pain include the superficial cervical plexus blocks, interscalene blocks and a combined version of the above. In this case study, the investigators aim to describe the protocol used in a university hospital: general anaesthesia with interscalene brachial plexus block, followed by optional iv morphine administration in phase 1 recovery and oral oxycodone on the ward.
Interventions
PROCEDUREInterscalene brachial plexus block
Sponsors
Centre Hospitalier Universitaire Vaudois
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* clavicular fracture with internal reduction * physical status I - III
Exclusion criteria
* contraindication to regional anaesthesia * history of neck radiotherapy * patient suffering from chronic pain * severe respiratory disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| IV Morphine consumption in phase 1 recovery (mg) | 0-2 hours after surgery | morphine administered in postanaesthetic care unit by nursers if pains score \> 3/10, per protocol |
Secondary
| Measure | Time frame |
|---|---|
| Pain scores at rest and on movement (numeric rating scale, 0-10) | Postoperative day 0 and 1 |
| Postoperative nausea and vomiting (yes/no) | Postoperative day 0 and 1 |
| Itching (yes/no) | Postoperative day 0 and 1 |
| Cumulative oxycodone consumption (mg) | up to postoperative day 1 |
Countries
Switzerland
Outcome results
None listed