Injury, Occupational Diseases, Poisoning Surgery post operative pain in upper limb ORIF in limb fractures Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Sixty Patients of both genders ASA ( I¿II - III), aged from 18 to 75 years will be randomly allocated either to receive general anesthesia alone (20) patients group GA , or general anesthesia + supraclavicular block (GAB) (30) patients.
Exclusion criteria
Exclusion criteria: Exclusion criteria include previous surgery or trauma on the upper limb, current use or previous use of corticosteroids, systemic illness known to affect the inflammatory changes such as rheumatoid arthritis, patients with Congestive heart failure, diabetes mellitus, hypertension, malignancy , patients with coagulopathies or on anticoagulants or antiplatelet therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| cytokine response (inflammatory:IL-6), (TNF-¿ and anti-inflammatory(IL-10) ) ;5-Morphine consumption | — |
Secondary
| Measure | Time frame |
|---|---|
| 1- The circumference and skin temperature of the operated site and contralateral side. ;2- Oedema will be measured thread and compared witth the contralateral side and by oedema score.;3- Pain at rest and at movement will be measured by (VAS) from (0¿10) measured ;4- Healing power of wound: Assessment by Bates-Jensen wound assessment tool (1-13) | — |
Countries
Egypt
Contacts
Lecturer of Anesthesiology Fayoum University