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Elbow Surgery clinical trials

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NCT ID: NCT05343299 Completed - Anesthesia, Local Clinical Trials

Postoperative Experience of 2 WALANT-type Modes of Anesthesia Used in Ambulatory Surgery of the Upper Limb.

ROPIWA
Start date: May 30, 2022
Phase: Phase 1
Study type: Interventional

Distal surgery of the upper limb under local anesthesia using the WALANT technique (Wide Awake Local Anesthesia No Tourniquet) has become the standard care in orthopedic surgery. The principle is that the operator infiltrates the whole surgical area with a 1% lidocaine solution combined with adrenaline (diluted to 1/200,000) so that all distal surgery of the upper limb can be performed without a tourniquet. Thus, the perioperative course and management of the patient in the operating room and the constraints inherent to general anesthesia are largely reduced. Also, the material cost is considerably reduced. However, WALANT often induces significant pain when the patient leaves the operating room to return home. This effect is related to the pharmacological formulation of lidocaine which has a short half-life (< 3h). To reduce this inconvenience of early block removal, adding a local anesthetic with a longer duration of action (ropivacaine) to lidocaine would extend the duration of the analgesic, improving postoperative experience and satisfaction. The main objective of this research is to evaluate the effect of two WALANT anesthesia protocols (with or without the addition of ropivacaine) on the postoperative experience of patients (QoR-40 questionnaire) 48 hours after outpatient hand surgery.

NCT ID: NCT03727516 Completed - Elbow Surgery Clinical Trials

Italian Version of the Oxford Elbow Score Score

Italian-OES
Start date: July 24, 2018
Phase:
Study type: Observational [Patient Registry]

Validation of the cross-cultural adapted Italian version of the Oxford Elbow Score, in order to have an instrument able to detect the functional state reported by patients after elbow surgery.

NCT ID: NCT00699244 Completed - Hand Surgery Clinical Trials

Comparison of Central Versus Peripheral Placement of Local Anesthetic

Start date: December 2006
Phase: N/A
Study type: Interventional

Does ultrasound increases the success rate and if there is a difference in success rate between placing the local anesthetic centrally versus peripherally.