End state renal disease (ESRD) Intercostobrachial nerve
Conditions
Interventions
The injection of local anesthetics medial to the medial border of the serratus anterior muscle at the inferior border of the second rib.,The injection of local anesthetics on the surface of the latiss
Active Comparator Procedure/Surgery,Active Comparator Procedure/Surgery
The proximal ICBNB,The distal ICBNB
Sponsors
Faculty of Medicine, Maharaj Nakorn Chiang Mai Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. ESRD patients age between 18 - 70 years 2. American Society of Anesthesiologists (ASA) class III 3. Body Mass Index (BMI) between 18 and 40 kg/m2 4. Body weight more than 40 Kg 5. Undergoing upper arm arteriovenous access surgery (AVG, AVF) which is the incision will be involved the axilla and the upper half of the anteromedial surface of the arm. 6. Patients accept for 2 sites of injection of local anesthetics: ICBNB and supraclavicular brachial plexus block
Exclusion criteria
Exclusion criteria: 1. Refuse regional block 2. Allergy to local anesthetics 3. Coagulopathy 4. Infection at the injection area 5. Severe COPD or asthma or restrictive pulmonary disease 6. Decrease sensation over the surgical extremity 7. Neurological or psychological problem 8. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Successful of the ICBNB Assess every 5 minutes for 30 minutes A successful sensory blockade of both axillary and upper arm areas within 30 minutes | — |
Secondary
| Measure | Time frame |
|---|---|
| Successful surgical anesthesia The beginning of surgery The ability to proceed with surgery without the need for intravenous fentanyl, GA or LA infiltration,Onset time Every 5 minutes after intervention The time required to complete sensory block,Postoperative pain scores Within the first 24 hours after surgery VAS pain scale,Duration of sensory block Within the first 24 hours after surgery Time to return of sensation,Duration of analgesia Within the first 24 hours after surgery Time to feel pain,The imaging time At performing of the block Time interval between the U/S transducer is contacted with the patient and acquiring of the best ima,The needling time At performing of the block Time interval between the skin infiltration and the end of local anesthetic injection,The performance time At performing of the block Time of the imaging and needing time,The procedural related pain At performing of the block VAS pain scale,Number of needle passes At performing of the block The count of numbers of skin puncture,Incidence of block related complications Within the first 24 hours after surgery Observation | — |
Countries
Thailand
Contacts
Public ContactArtid Samerchua
Faculty of Medicine, Maharaj Nakorn Chiang Mai Hospital
Outcome results
None listed