Forearm Fracture
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with ASA classification PS1 and PS2; over 18 years of age; submitted to upper limb surgery with indication of supraclavicular brachial plexus block
Exclusion criteria
Exclusion criteria: presença de lesão de nervo periférico; doença cardíaca, hepática ou renal; vigência de tratamento com bloqueador de canal de cálcio; presença de distúrbios de coagulação ou uso de anticoagulantes; presença de infecção no local de punção; uso prévio de opioides; dificuldade para compreender a EVA (Escala Visual Analógica); alergia a anestésicos locais ou sulfato de magnésio; gestação; peso corporal inferior a 40kg; falha total ou parcial do bloqueio sensitivo 35 minutos após a injeção; pósoperatório em unidade de terapia intensiva; necessidade intraoperatória de mudança da técnica anestésica devido a falha do plano anestésico
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Onset defined as the time interval between the end of the injection of the anesthetic solution and the sensory loss to the Pinprick test in the last nerve region (sensitive dermatomes of the musculocutaneous, radial, ulnar, median nerves).;Compare the intensity of postoperative pain according to the VAS in the first 24h | — |
Secondary
| Measure | Time frame |
|---|---|
| Motor block onset time defined as the time between the end of the anesthetic solution injection and the identification of paresis or paralysis for the last nerve according to pre-defined motor tests for the musculocutaneous, radial, ulnar and median nerve.;Motor block duration measured from the beginning of the block until the digital movement resumes.;Duration of analgesia measured as time from the beginning of the sensory block until the 2-point increase in the visual analogue pain scale (VAS);Comparison of the proportion of rebound pain | — |
Countries
Brazil