Hand Surgery Clinical Trial
Official title:
The Safety of Hand Surgery in the Anticoagulated Patient
If operating on the anticoagulated patient has been safe for one of the investigators' surgeons for the past 10 years then providing prospective data that substantiates this could prevent complications related to the discontinuation of anticoagulation for hand surgery patients in the future.
All eligible patients will be offered study enrollment pre-operatively. Demographic data
collected during clinical interaction that will be gathered for research purposes and will
included patient height, weight, age, anticoagulant medication(s) used with dosage/duration
of use, indication for anticoagulant medication, and current INR if on warfarin.
Preoperative examination will include measures of 2 point discrimination in the digits,
distance of the fingertips from the distal palmar crease upon flexion, and the patient-based
outcome surveys that are to be collected after surgery (Quick DASH, SF-12, Visual Analog
Scales pain/swelling). These patients will then undergo the appropriate surgical procedure
without discontinuing their anticoagulant medication.
To ensure that patients are not being placed at increased risk, this study's protocol will
not alter the surgical practices of the attending surgeons involved. Specifically, all
surgeons perform their hand and wrist surgery under tourniquet control but differ in whether
the tourniquet is deflated prior to wound closure. Each surgeon will be free to manage the
tourniquet as they feel appropriate. The placement of would drains will remain at the
discretion of the attending surgeon on a case-by-case basis.
Local anesthetics may be injected but none will be mixed with epinephrine.
Procedures: (if applicable) Obtaining pre-operative INR values when appropriate, and
performing surgery while continuing anticoagulants is already standard care for one faculty
member. All post-operative care except the completion of the Quick DASH and Short Form 12,
and visual analog ratings is part of standard clinical care. Research questionnaires should
take no more than 20 minutes to complete per visit.
;
Observational Model: Case Control, Time Perspective: Prospective
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT03512223 -
Intravenous and Perineural Dexamethasone for Brachial Plexus Block in Hand Surgery
|
Early Phase 1 | |
Enrolling by invitation |
NCT04656834 -
Hand Incision Study
|
||
Enrolling by invitation |
NCT04636463 -
Music in Wide Awake Hand Surgery
|
N/A | |
Completed |
NCT05343299 -
Postoperative Experience of 2 WALANT-type Modes of Anesthesia Used in Ambulatory Surgery of the Upper Limb.
|
Phase 1 | |
Completed |
NCT00321425 -
Ultrasound Guidance Vs. Electrical Nerve Stimulation for Infraclavicular Brachial Plexus Block
|
N/A | |
Completed |
NCT02209246 -
The Effect of Feedback Regarding Illness Behavior on Patient Satisfaction in Hand Surgery
|
N/A | |
Completed |
NCT00956683 -
Dual Endpoint Nerve Stimulation Versus Ultrasound in Infraclavicular Block for Hand Surgery
|
N/A | |
Completed |
NCT04491656 -
Evaluating Clinical Outcomes for Determining the Optimal Delay to Skin Incision Under WALANT
|
N/A | |
Terminated |
NCT00827658 -
Ulnar Nerve Block for Procedural Anesthesia - Wrist Versus Palm
|
N/A | |
Recruiting |
NCT04306666 -
Early Rehabilitation After Hand or Wrist Ambulatory Surgery : How to Preserve Locomotion at Home Without Rebound Pain?
|
||
Completed |
NCT04189198 -
A Comparison of 4% Articaine Versus 0.5%Bupivacaine for Ambulatory Surgery Under Supraclavicular Block
|
Phase 1 | |
Completed |
NCT00699244 -
Comparison of Central Versus Peripheral Placement of Local Anesthetic
|
N/A | |
Active, not recruiting |
NCT02073383 -
Three Techniques for Ultrasound Guided Axillary Brachial Plexus Block
|
N/A | |
Completed |
NCT03632304 -
Local Anesthesia With Minimal Sedation and Brachial Plexus Block in Hand Surgery
|
N/A | |
Completed |
NCT05325372 -
A Comparative Study Between Infraclavicular and Axillary Blocks for Assessment of Motor Power Using Handgrip Dynamometer
|
N/A |