Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with CRF which defined as progressive kidney damage with glomerular filtration rate (GFR) <15 mL/min/1.73 m2 for 3 months or more irrespective of cause which is the point of needing dialysis with physical status ASA III classification were included in the study
Exclusion criteria
Exclusion criteria: . Patients with neurological deficit of the upper limb, mental dysfunction and bleeding disorders or with a history of allergy to local anesthetics were excluded from the study. Also, Patients younger than 20 Years old and older than 60 Years old did not included in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual analogue scale (VAS) for first24hours. | — |
Secondary
| Measure | Time frame |
|---|---|
| Onset of sensory block : After injection of the solution (time zero) every patient was checked in the following times: 0, 5, 10, 20, 30 and 60 minutes for onset of sensory blockade using pinprick test using the following scale (three-point scale): • 0 points = pinprick perceived as painful (normal sensation), • 1 point = analgesia to pinprick, • 2 points = anesthesia to pinprick (no perception) Duration of sensory block (hr): It's the time from sensory block onset to time of restoration of sensation at the surgical site. Onset of motor block : After injection of the total dose of LA (time zero) every patient was checked in the following times: 0, 5, 10, 20, 30 and 60 minutes for onset of motor blockade using the following scale: • 0 points = no paresis • 1 point = paresis, • 2 points = complete paralysis Duration of motor block (hr) :It's the time from motor block onset to restoration of global mobility in the elbow, hand and the wrist. Success rate: identified as complete sensory and motor block. Duration of Surgery and Complications: such as chest discomfort, Horner's syndrome, voice changes and pneumothorax. | — |
Countries
Egypt
Contacts
Lecturer of anesthesia and ICU in Kfer El Shigh university