Anesthesia, Branchial Plexus Blockade
Conditions
Keywords
Axillary Approach, Ketamine, Adjuvant
Brief summary
The purpose of this study is to assess Ketamine as an adjuvant to Branchial Plexus Blockade.
Detailed description
After being informed about the study, patients giving written informed consent will undergo anaesthesia using the Ultrasound Guided Axillary Approach to Brachial Plexus Blockade, in order to undergo forearm surgery. The purpose of this study is to assess whether Ketamine as an adjuvant lengthens sensory and motor blockade and whether it has an effect on rebound pain when the anaesthetic effect fades. Therefore the study will compare intravenous, regional and no administration of Ketamine as an adjuvant to Branchial Plexus Blockade. Patients will be asked to fill in a Pain VAS (Visual Analog Scale) for 24 hours following the intervention, in order to assess effectiveness of each anaesthetic method. Side effects, onset time, motor blockade score and rescue dose are also recorded.
Interventions
Microsurgery Clinic , KAT Hospital Athens
Ropivacaine
Ketamine
Sponsors
Study design
Eligibility
Inclusion criteria
* BMI 20-35 * ASA score I, II, III
Exclusion criteria
* Mental disorder * Peripheral neuropathy * Severe hepatic or renal disease * Gastrointestinal bleeding history
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VAS (Visual Analog Scale) over 24 hours following intervention | 24 hours | VAS scale is expressed in integer numbers ranging from 0-10, where 0=no pain, 10= excruciating pain. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Side Effects | 24 hours | Dizziness, nausea, vomiting, paraesthesia |
| Motor Blockade Score | 24 hours | 0=complete paralysis, 1=partial paralysis, 2=no paralysis |
| Anesthesia Onset time | 24 hours | Time from removal of needle to final motor and sensory blockade result |
| Rescue Dose | 24 hours | Tramadol 100mg intravenously administered only to patients who claim to be in strong pain within the 24 hours after intervention. |
Countries
Greece