Locoregional Anesthesia
Conditions
Brief summary
A low injection pressure is one of the safety elements to check the correct position of the needle during regional anesthesia. Subjective assessment of pressure during manual injection of local anesthetic is most commonly used. In adults, the monitoring of the injection pressure has already been evaluated and makes it possible to objectify the pressure of the injection pressure. This is possible thanks to a device named Compuflo. No study has measured injection pressures during a regional anesthesia in children. The main objective is to control the injection pressures exercised in daily clinical practice during pediatric regional anesthesia with the Compuflo. Regional anesthesia will be proposed and explained during the anesthesia consultation. The procedure will be performed according to the habits of the anesthesiologist in charge of the patient. Only the addition of the Local Anesthetic Injection Pressure monitoring (Compuflo) to the needle changes the usual setup.
Detailed description
The purpose of this study is to evaluate the usual practice using Compuflo, allowing the continuous measurement of the injection pressure of the local anesthetic at the needle level. On the day of the surgery, an anesthesiologist operator will realize the echo-guided regional anesthesia, qualifying aloud every injection realized (site or compartment of injection, and volume injected). An observer anesthesiologist will note the demographic data (age and weight), then the material data (minimum stimulation intensity, type and size of needles and syringes used), and finally he will note the maximum pressure levels reached during the injections performed.
Interventions
DEVICEmeasure of injection pressure by compuflo
injection pressure mesured by Compuflo
Sponsors
University Hospital, Montpellier
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 16 Years
Healthy volunteers
No
Inclusion criteria
* Minor patient (0-16 years old) with consent of the major legal representative * Affiliated to the social security * Informed written consent, notification on the anesthesia sheet
Exclusion criteria
* Patient over 16 years old * Patient under tutorship / curatorship * Young girl with known or suspected ongoing pregnancy * Known allergy to local anesthetics * Hemostatic disorder * Local infection at the puncture site
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| injection pressure (injection pressure measured by Compuflo) | up to 24 hours (during the ALR) | injection pressure measured by Compuflo |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pressure values according to the different types of material used | up to 24 hours (during the ALR) | Pressure values according to the different types of material used |
| Pressure values in the different infiltrated compartments | up to 24 hours (during the ALR) | Pressure values in the different infiltrated compartments |
| Pressure values compared to the threshold value used in adults of 15 Psi | up to 24 hours (during the ALR) | Pressure values compared to the threshold value used in adults of 15 Psi |
| Number and ratio of involuntary intra-neural injections | up to 24 hours (during the ALR) | Number and ratio of involuntary intra-neural injections |
| Number and ratio of secondary paresthesias | up to 24 hours (during the ALR) | Number and ratio of secondary paresthesias |
| Pressure values according to the age of the child | up to 24 hours (during the ALR) | Pressure values according to the age of the child |
Countries
France
Outcome results
None listed