Dexamethasone Clinical Trial
Official title:
Comparison of the Effects of Dexamethasone and magnesıum Sulphate Used as Adjuvant in Infraclavicular Brachial Plexus Nerve Block.
Verified date | October 2023 |
Source | Yuzuncu Yil University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The aim of this prospective clinical study is to compare the effectiveness of dexamethasone and magnesium sulfate added as adjuvants to bupivacaine in infraclavicular brachial plexus block used under ultrasound guidance for upper extremity surgeries.
Status | Completed |
Enrollment | 90 |
Est. completion date | July 20, 2023 |
Est. primary completion date | January 2, 2023 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion Criteria: - Participants providing informed written and verbal consent - 18-65 years old - ASA I-II - Cases undergoing elective upper extremity surger Exclusion Criteria: - Cases that do not accept regional anesthesia application - Those who are under 18 years of age and over 65 years of age - ASA III and above - Cases in which the operation was started with infraclavicular block and then transferred to general anesthesia. - Those with liver and kidney dysfunction - Those with diabetes mellitus - Those with drug allergies - Patients with acid-base and electrolyte disorders - Pregnant women - Emergency cases - Those with neuropathic disorders - Those with significant psychiatric and cognitive disorders or substance addiction - Those with a history of clavicle fracture, pneumonectomy, contralateral hemidiaphragmatic paralysis, pneumothorax, phrenic or recurrent laryngeal nerve palsy. - Cases with BMI>30 or BMI<18 - Patients in whom regional anesthesia was contraindicated (sepsis, local infection, coagulopathy, heart disease, hypovolemia) were not included in the study. |
Country | Name | City | State |
---|---|---|---|
Turkey | Haci Yusuf GUNES | VAN |
Lead Sponsor | Collaborator |
---|---|
Yuzuncu Yil University |
Turkey,
Klaastad O, Sauter AR, Dodgson MS. Brachial plexus block with or without ultrasound guidance. Curr Opin Anaesthesiol. 2009 Oct;22(5):655-60. doi: 10.1097/ACO.0b013e32832eb7d3. — View Citation
Mirza F, Brown AR. Ultrasound-guided regional anesthesia for procedures of the upper extremity. Anesthesiol Res Pract. 2011;2011:579824. doi: 10.1155/2011/579824. Epub 2011 May 30. — View Citation
O'Donnell BD, Ryan H, O'Sullivan O, Iohom G. Ultrasound-guided axillary brachial plexus block with 20 milliliters local anesthetic mixture versus general anesthesia for upper limb trauma surgery: an observer-blinded, prospective, randomized, controlled trial. Anesth Analg. 2009 Jul;109(1):279-83. doi: 10.1213/ane.0b013e3181a3e721. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Motor block onset time | Motor block examination was performed with the modified Bromage scale. In the motor block examination, thumb orientation was examined for the median nerve, thumb abduction for the radial nerve, thumb adduction for the ulnar nerve, and elbow flexion for the musculocutaneous nerve. Patients with a modified Bromage scale = 2 on the side where the block was applied were considered to have a successful block and the patient's surgery was initiated. | 24 hours | |
Primary | Motor Block Duration | Motor block durations were determined according to the Bromage scales at the 1st, 3rd, 6th, 12th and 24th postoperative hours. | 24 hours | |
Primary | Sensory block onset time | Pinprick sensory test was used in the sensory examination of the patients. Sensory examination was performed using a pinprick test on the first 3 fingers and the dorsal side of the wrist for the radial nerve, the medial side of the 5th finger for the ulnar nerve, the first 3 fingers and the volar side of the wrist for the median nerve, and the lateral region of the forearm for the musculocutaneous nerve.Pinprick sensory test = 1 on the side where the block was applied were considered to have a successful block and the patient's surgery was initiated. | 24 hours | |
Primary | Sensory block duration | Sensory block durations were determined according to the Pinprick sensory test at the 1st, 3rd, 6th, 12th and 24th postoperative hours. | 24 hours | |
Primary | VAS score | VAS scores at the 1st, 3rd, 6th, 12th and 24th postoperative hours were evaluated. Dexketoprofen trometamol 50 mg was given intravenously to patients with a postoperative VAS Score of 4 and above. If the VAS Score was 6 or above even though NSAIDs were administered, the patients were given the opioid analgesic tramadol hydrochloride 1 mg/kg intravenously. | 24 hours |
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