Comparison of Ultrasound-guided Brachial Plexus Blocks and Selective Distal Blocks in Terms of Anesthesia

Pain, Postoperative Clinical Trial

Official title:

Comparison of Ultrasound-guided Brachial Plexus Blocks and Selective Distal Blocks in Terms of Anesthesia Success and Discharge Time in Hand and Wrist Surgeries: A Single Center, Historic Cohort Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05656625
• Other study ID #: distal block
• Status: Completed
• Start date: December 20, 2022
• Est. completion date: December 29, 2022

Study information

• Verified date: December 2022
• Source: Samsun University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Ultrasound-guided brachial plexus blocks (infraclavicular, axillary) can be applied as the main anesthetic method in hand and wrist surgeries, as well as single or combination block applications of the median, radial and ulnar nerves at the forearm level.

Here, we aimed to retrospectively evaluate the perioperative and postoperative data of patients who underwent hand and wrist surgery under distal nerve blocks and brachial plexus blocks in our hospital.

Description:

The retrospective files of patients who used ultrasound guided regional anesthesia techniques as the main anesthetic method in hand and wrist surgeries in our hospital between 01.01.2021 and 01.09.2022 will be examined. Patients over the age of 18 who go to hand and wrist surgery will be included. Patients who have undergone surgical intervention in more than one region in the same session and who have psychiatric disorders that will affect the perception of pain will be excluded from the study. Demographic characteristics, American Society of Anesthesiology (ASA) scores, comorbidity, block performed (distal peripheral nerve block and/or brachial nerve block) and volume applied, block performance time, first analgesia times, surgery times, surgery types, discharge times, additional The existence of the complaint will be recorded. The data obtained by grouping the patients according to the type of anesthesia applied (brachial plexus block and distal nerve blocks) will be subjected to statistical analysis.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 2
• Est. completion date: December 29, 2022
• Est. primary completion date: December 29, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Patients over the age of 18 who go to hand and wrist surgery will be included.

Exclusion Criteria:

• Patients who have undergone surgical intervention in more than one region in the same session and who have psychiatric disorders that will affect the perception of pain will be excluded from the study.

Related Conditions & MeSH terms

• Anesthesia, Local
• Pain, Postoperative
• Patient Satisfaction

Intervention

Other:
• descriptive
The block performed (distal peripheral nerve block and/or brachial nerve block) and the volume applied, block performance time, first analgesia times, surgery times, surgery types, discharge times, presence of additional complaints will be recorded. The data obtained by grouping the patients according to the type of anesthesia applied (brachial plexus block and distal nerve blocks) will be subjected to statistical analysis.

Locations

Country	Name	City	State
Turkey	Samsun University	Samsun	Ilkadim

Sponsors (1)

Lead Sponsor	Collaborator
Samsun University

Country where clinical trial is conducted

Turkey, 

References & Publications (2)

Ince I, Aksoy M, Celik M. Can We Perform Distal Nerve Block Instead of Brachial Plexus Nerve Block Under Ultrasound Guidance for Hand Surgery? Eurasian J Med. 2016 Oct;48(3):167-171. doi: 10.5152/eurasianjmed.2016.0256. — View Citation

Soberon JR Jr, Crookshank JW 3rd, Nossaman BD, Elliott CE, Sisco-Wise LE, Duncan SF. Distal Peripheral Nerve Blocks in the Forearm as an Alternative to Proximal Brachial Plexus Blockade in Patients Undergoing Hand Surgery: A Prospective and Randomized Pil — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Quality in Anaesthesia	The patients were called by phone and asked to evaluate the anesthesia technique used in their surgery. Three main judgments including 'quality of anesthesia', 'whether they would prefer the same anesthesia again' and 'whether they would recommend this technique to others' were evaluated with a 5-point Likert scale. 5 point Likert scale consists of 5 answer options which will contain two extreme poles and a neutral option connected with intermediate answer options. In evaluation of parient satisfaction, we used 5 point Likert scale example to measure satisfaction is: (1) Very dissatisfied, (2)Dissatisfied, (3) Neither satisfied nor dissatisfied, (4) Satisfied , (5)Very satisfied .; In other terms, (1) Strongly disagree; (2) Disagree; (3) Neither agree nor disagree; (4) Agree; (5) Strongly agree.	up 24 hours
Secondary	discharge time	The time of discharge will be specified in both groups.	up to 24 hours
Secondary	block performance time	Block performance time was defined as the time from ultrasound probe insertion to needle removal at the end of perineural injections.	intraoperative
Secondary	additional anesthetic/analgesic requirement	additional analgesic requirement will be evaluated intraoperatively or postoperatively.	perioperative period
Secondary	complications	The presence of complications will be evaluated during and after the block.	up to 24 hours