Forearm Surgery, Hand Surgery, Pain Management, Peripheral Nerve Block, Upper Extremity
Conditions
Keywords
Infraclavicular Block, Obesity, Upper Extremity, Hand surgery, Forearm surgery
Brief summary
Forearm and hand surgeries are among the most frequently performed surgical interventions both in trauma patients and electively.In these procedures, alternative anesthesia methods such as general anesthesia, regional intravenous anesthesia, regional peripheral nerve blocks and local anesthesia are available. Peripheral nerve blockade can be used for anesthesia and analgesia.This method allows patients to undergo surgery without general anesthesia and increases patient satisfaction by providing effective analgesia in the postoperative period. The aim of this study was to compare the conventional and retroclavicular approaches to infraclavicular block in patients undergoing forearm and hand surgery.
Interventions
PROCEDUREConventional approach to infraclavicular block
Conventional approach to infraclavicular block will be performed on the patients using 20 ml of 0.5% bupivacaine 5ml of %2 lidocaine under ultrasound guidance.
PROCEDURERetroclavicular approach to the infraclavicular block
Retroclavicular approach to the infraclavicular block will be performed on the patients using 20 ml of 0.5% bupivacaine 5ml of %2 lidocaine under ultrasound guidance.
Sponsors
Ankara Etlik City Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patients 18-80 years of age * Those with ASA score II-III * Those with a body mass index (BMI) \>30 * Patients who are suitable for forearm and hand surgery under regional anesthesia in the operating room
Exclusion criteria
* Patients who cannot perceive and evaluate pain * Patients who want to have surgery under general anesthesia * Patients in whom regional anesthesia is contraindicated
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Block Performance Time | During regional anesthesia | Total block performance time (from skin puncture to needle removal) will be recorded |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Score | Up to 24 hours | Pain will be assessed using a visual analog scale from 0 mm (no pain) to 100 mm (worst pain) at rest and when coughing. Pain assessment will be made at 0, 1, 6, 12, 18, and 24 hours after surgery. |
| Patient Satisfaction | 1 day | Quality of recovery-15 (QoR-15) score was used as the satisfaction score. The patient-reported Turkish QoR-15 score includes 15 questions that evaluate the patient's postoperative recovery. The QoR-15 score is grouped under two groups, A and B. A high QoR-15 score, a score between 0 (poor) and 10 (excellent) for each item, and a total score of 150 indicate better quality of recovery. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactIbrahim Topcu, MD
Backup ContactMusa Zengin, Associate Professor
Outcome results
None listed