Too long duration of motor blockage Distal end radius fracture Axillary brachial plexus block
Conditions
Interventions
1.2% Lidocaine + 0.2% Bupivacaine + Dexamethasone 5 mg total 21 ml,0.5% bupivacaine 20 ml + NSS 1 ml total 21 ml
Active Comparator Drug,Placebo Comparator Drug
Sponsors
Faculty of Medicine Siriraj Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
20 Years to 85 Years
Inclusion criteria
Inclusion criteria: 1. Age 20-85 years old 2. Known diagnosed as closed fracture distal end of radius 3. ASA physical status I-III as American Society of Anesthesiologists classification 4. Indication for axillary brachial plexus block for perioperative analgesia for surgery < 3 hours
Exclusion criteria
Exclusion criteria: 1. Refusal 2. Cognitive impairment 3. Contraindication for axillary brachial plexus block 4. Anatomy deformity in blocking area 5. Neuropathy or neurological deficit 6. DM with HbA1C > 7.5 % 7. GFR < 50 ml/min 8. Body weight below 35 kg 9. Known allergy to intervention agents 10. Chronic pain (take oral morphine > 20 mg/day)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration for motor power of hand grip recovery 24 hours Time as hour | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of analgesia 24 hours Time as hours | — |
Contacts
Public ContactBusara Sirivanasandha
Faculty of medicine Siriraj hospital, Mahidol university
Outcome results
None listed