Anesthesia, Local
Conditions
Brief summary
This study aims to compare between general anesthesia and axillary nerve block for ambulatory hand surgery regarding postoperative sleep pattern and efficacy.
Interventions
DRUGfentanyl 2µg/kg intravenously and maintained with isoflurane
Anesthesia will be induced using titration of intravenous propofol till loss of verbal contact and fentanyl 2µg/kg intravenously and maintained with isoflurane (end tidal up to 1.5%), oxygen in air 50:50 via a laryngeal mask.
PROCEDUREAxillary nerve Block
Axillary block will be performed using ultrasound technique. Patients will receive an axillary block under ultrasound guidance using a linear 5-12 MHz probe.
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Physical Status: ASA I and II Patients after taking written and informed consent * Body mass index less than 30
Exclusion criteria
* Refusal of procedure or participation in the study by patients. * Physical status: ASA III or above * Subjects presenting with allergy to local anesthetics, alcohol or drug abuse. * Inability to cooperate mentally retarded patients. * Bleeding disorders. * Patients with preoperative obstructive sleep apnea (OSA) or any sleep disturbance. * Patients with body mass index more than 30. * Polytrauma patients or emergency operation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Postoperative nausea and vomiting | First 24 hours postoperatively | Incidence of postoperative nausea and vomiting requiring treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual analogue scale [VAS] | First 24 hours postoperatively | Visual analogue scale \[VAS\] will be used to measure pain score at 30 min, 1, 2, 4, 6, 8, 10, 12 and 24 h after surgery. All the study patients will be instructed about the use of the VAS scale before induction of anesthesia (VAS score 0 cm = no pain, VAS score 10 cm = worst possible pain) |
| Pittsburgh Sleep Quality Index | First 24 hours postoperatively | Pittsburgh Sleep Quality Index will be used to measure postoperative sleep disturbance. It is formed of 19 items that assess seven clinically derived domains of sleep difficulties (Sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medications, and daytime dysfunction) over a Likert scale (0-3) |
Countries
Egypt
Outcome results
None listed