Multiple injuries of forearm
Conditions
Interventions
54 participants with indication for surgery on the upper limb distal to the elbow will be selected and randomized by draw in two groups. Comparison group: 27 patients who will be submitted to costocla
Sponsors
Hospital das Clínicas da Universidade Federal de Uberlândia
Hospital das Clínicas da Universidade Federal de Uberlândia
Eligibility
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: Participants undergoing elective and urgent elbow, forearm, wrist and hand surgeries; both genres; aged 18 to 70 years; ASA I to III classification; BMI between 18 and 30
Exclusion criteria
Exclusion criteria: participant's refusal; classification of physical status ASA greater than III; inability to consent; coagulopathy; sepsis; pregnancy; neuromuscular disease; allergy to local anesthetics; neuropathy or previous deficit of musculocutaneous / radial / ulnar / median; previous surgery in the infraclavicular fossa; infection at the needle insertion site
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| We will evaluate the time for complete sensorimotor block by the costoclavicular brachial plexus block technique, comparing it with the control group with the axillary supraclavicular brachial plexus block technique, performing thermal sensory tests on radial nerve dermatomes, median, ulnar and musculocutaneous, at intervals of 5 minutes until the complete loss of thermal sensitivity of each dermatome;It will be evaluated the time to perform the blockade, the number of times it was necessary to reposition the needle to perform the procedure. | — |
Secondary
| Measure | Time frame |
|---|---|
| We will assess the adverse events associated with the techniques.;After 30 minutes of blockade, immobility, tactile and painful sensitivity related to each nerve will be evaluated. Immobility will be tested as follows: thumb abduction (n. Radial), elbow flexion (n. Musculocutaneous), thumb adduction (n. Ulnar) and thumb opposition (n. Median). Tactile sensitivity will be evaluated using the Semmes-Weinstein 300g monofilament and painful sensitivity through the Buck needle in each dermatome of the evaluated nerves | — |
Countries
Brazil
Contacts
Public ContactRoberto Ruzi
Hospital das Clínicas da Universidade Federal de Uberlândia
Outcome results
None listed