Clavicle Fracture, Clavicle Injury
Conditions
Keywords
wide awake local anesthesia, clavipectoral fascia plane block, clavicle surgery
Brief summary
The clavicle is frequently fractured bone. regional anesthesia (RA) for clavicle surgery is always challenging due t complex innervation from the two plexuses (cervical and brachial). various RA techniques described for clavicle surgery include plexus blocks, fascial plane blocks,and truncal blocks.
Detailed description
Clavipectoral Fascial Plane Block (CPB) is most commonly used as an anesthesia and postoperative analgesia technique to clavicle surgery. This study is deigned to evaluate the feasibility of wide awake local anesthesia no tourniquet (WALANT) technique as a sole anesthesia in clavicle surgery, clavipectoral (CVP) fascia plane block + superficial cervical plexus plane block (CPB) as a sole anesthesia technique in clavicle surgery by using intraoperative verbal rating score (VRS) to determine how many patients need analgesia, sedation or convert to general anesthesia (GA), and postoperative assessment of patient satisfaction and 24 hour postoperative opioid consumption.
Interventions
PROCEDUREWALLANT
Comparison between (WALLANT) and (CPB) as a sole anesthesia in clavicle surgery
Sponsors
Al-Azhar University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
The patient and the anesthiologist who perform postoperative pain will not know the group.
Intervention model description
2 Arms model
Eligibility
Sex/Gender
ALL
Age
21 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* American society of anesthesiologists (ASA) 1,2 * Unilateral clavicle fracture.
Exclusion criteria
* psychologically unstable patient. * uncooperative patient. * patient refusal to be awake during surgery. * allergy. * infection at site of infection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| efficacy of the block as a sole anesthetic technique | 6 months | intra-operative verbal rating score to determine how many patients need supplementary analgesia,sedation or converted to general anesthesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 24 hour postoperative opioid consumption | 6 months | Post-operative hourly VAS for the first 6 hours, at 8 hours, at 12 hours, at 16 hours,then at 24 hours postoperative |
| patient satisfaction | 6 months | patient satisfaction score immediately postoperative on hospital discharge and after 24 hours |
Countries
Egypt
Contacts
Primary ContactIsmail M Ahmed, Prof
Outcome results
None listed