Forearm Injuries, Hand Injuries
Conditions
Keywords
brachial plexus block, intermittent pneumatic compression maneuver
Brief summary
This study evaluates the addition of intermittent pneumatic compression maneuver to axillary brachial plexus block in forearm and hand surgery. Half of participants will receive axillary brachial plexus block and intermittent pneumatic compression maneuver, while the other half will receive only axillary brachial plexus block.
Interventions
Ultrasound guided axillary plexus block with 1.5% mepivacaine 30 ml
Following ultrasound guided axillary plexus block, the pneumatic compression maneuver of upper arm is composed of 6 repeated inflation-deflation periods; inflation with a pressure of 200 mmHg for 30 seconds and deflation for 10 seconds each.
Sponsors
Study design
Eligibility
Inclusion criteria
1. adults between ages of 20 and 50 2. patients who are scheduled forearm and hand surgery with axillary brachial plexus block 3. American Society of Anesthesiologists Physical Status classification 1 or 2 4. patients who voluntarily agree to participate in the trial
Exclusion criteria
1. patients who are pregnant or lactating 2. patient who does not agree to participate in the study 3. patient with side effects on local anesthetics 4. patient with neurologic deficit of upper arm 5. patients with comorbidities of cardiac, pulmonary, renal, cerebral, and hepatic systems 6. patients with peripheral vascular disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to achieve complete sensory block | 1 hour | Defined as the time to reach an absent sensation in the pinprick test at all four nerve distributions (ulnar nerve, radial nerve, median nerve, and musculocutaneous nerve) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to achieve surgical anaesthesia | 1 hour | Defined as the time to reach an absent sensation in the pinprick test and reduced power at all four nerve distributions (ulnar nerve, radial nerve, median nerve, and musculocutaneous nerve) |
Countries
South Korea