Pain Clinical Trial
Official title:
Evaluation of the Effectiveness of the Supraclavicular Block Associated With a Pecs Blocks I to Ensure Analgesia When Placing a Pacemaker
Pacemakers are currently placed at the Erasmus Hospital under local anesthesia performed by the surgeon, and the amount of local anesthetic agents sometimes reach the maximum permitted doses, with a risk of systemic toxicity. Moreover, these patients often present an associated conduction block. This represents a contraindication/constraint in the use of lidocaine 2% (local anesthesia frequently used by the surgeon to infiltrate). This study hypothesized that using a block of the supraclavicular nerve associated with a Pecs Block I. guided by ultrasound should require a smaller quantity of local anesthetic.
PECS 1 Block and Supraclavicular Nerve Block, were performed by an anesthesiologist under
ultrasound control using a linear 8Mzt transducer, a Phillips HD 11 machine and a 50 mm
needle Stimuplex 360 Braun. The ALR procedure was performed 30 minutes before the surgical
incision. A volume of 15 ml of ropivacaine 3.75 mg/ml is used and distributed as follows: 12
ml for the Pecs 1 Block and 3 ml for the Supraclavicular nerve block: The patient was placed
in supine position with the arm abducted at about 90 °, the puncture site being sterilized
with betadine. The transducer was first placed in a subclavicular position in order to
identify the major and minor pectoralis muscles, as well as the thoracoacromial artery,
particularly the pectoral branch, additional color Doppler, was used for the identification
of those vessels. The needle was directed in plane to the intermuscular space lying between
the large and small pectoral, a careful avoidance of the thoracoacromial artery or its
pectoral branch was ensured. The LA injection, under visual control of the spread between the
two muscles, was initiated at the level of the 2nd and 3rd ribs after a classical aspiration
test; 12 ml of the ropivacaine 0.375% were used. A spread of the LA appearing as an
intermuscular hypoechoic "lens" was always searched.
Second, a supraclavicular nerve block was performed. We initially identified the C5 root and
scanned cranially to visualize the superficial cervical plexus. then, moving caudally, the
supraclavicular nerve was isolated appearing as a hypoechogenic structure between scalenus
medius and posterior border of the sternocleidomastoid muscle. A total of 3 ml of ropivacaine
0,375% was deposited nearby this nerve.
In the ALC group (Anesthesia Local Surgeon's Anesthesia: Local Infiltration of N = 15
tissues) 15 ml Ropivacaine 3.75 mg/ml were injected in the subclavicular area, as usual,
starting from the skin to the depth of the muscles.
In case of patient discomfort or failure of the techniques used, a further local infiltration
consisting of a maximum of 10 ml lidocaine 2% performed as required by the surgeon was
allowed as rescue. If this failed, the depth of sedation would gradually increase and
ventilation would be controlled either by face or laryngeal mask Propofol 1-3 mg / Kg / IV +
sufentanyl 2.5 μg / IV).
;
Status | Clinical Trial | Phase | |
---|---|---|---|
Active, not recruiting |
NCT05559255 -
Changes in Pain, Spasticity, and Quality of Life After Use of Counterstrain Treatment in Individuals With SCI
|
N/A | |
Terminated |
NCT04356352 -
Lidocaine, Esmolol, or Placebo to Relieve IV Propofol Pain
|
Phase 2/Phase 3 | |
Completed |
NCT04748367 -
Leveraging on Immersive Virtual Reality to Reduce Pain and Anxiety in Children During Immunization in Primary Care
|
N/A | |
Completed |
NCT05057988 -
Virtual Empowered Relief for Chronic Pain
|
N/A | |
Completed |
NCT04466111 -
Observational, Post Market Study in Treating Chronic Upper Extremity Limb Pain
|
||
Recruiting |
NCT06206252 -
Can Medical Cannabis Affect Opioid Use?
|
||
Completed |
NCT05868122 -
A Study to Evaluate a Fixed Combination of Acetaminophen/Naproxen Sodium in Acute Postoperative Pain Following Bunionectomy
|
Phase 3 | |
Active, not recruiting |
NCT05006976 -
A Naturalistic Trial of Nudging Clinicians in the Norwegian Sickness Absence Clinic. The NSAC Nudge Study
|
N/A | |
Completed |
NCT03273114 -
Cognitive Functional Therapy (CFT) Compared With Core Training Exercise and Manual Therapy (CORE-MT) in Patients With Chronic Low Back Pain
|
N/A | |
Enrolling by invitation |
NCT06087432 -
Is PNF Application Effective on Temporomandibular Dysfunction
|
N/A | |
Completed |
NCT05508594 -
Efficacy and Pharmacokinetic-Pharmacodynamic Relationship of Intranasally Administered Sufentanil, Ketamine, and CT001
|
Phase 2/Phase 3 | |
Recruiting |
NCT03646955 -
Partial Breast Versus no Irradiation for Women With Early Breast Cancer
|
N/A | |
Active, not recruiting |
NCT03472300 -
Prevalence of Self-disclosed Knee Trouble and Use of Treatments Among Elderly Individuals
|
||
Completed |
NCT03678168 -
A Comparison Between Conventional Throat Packs and Pharyngeal Placement of Tampons in Rhinology Surgeries
|
N/A | |
Completed |
NCT03286543 -
Electrical Stimulation for the Treatment of Pain Following Total Knee Arthroplasty Using the SPRINT Beta System
|
N/A | |
Completed |
NCT03931772 -
Online Automated Self-Hypnosis Program
|
N/A | |
Completed |
NCT02913027 -
Can We Improve the Comfort of Pelvic Exams?
|
N/A | |
Terminated |
NCT02181387 -
Acetaminophen Use in Labor - Does Use of Acetaminophen Reduce Neuraxial Analgesic Drug Requirement During Labor?
|
Phase 4 | |
Recruiting |
NCT06032559 -
Implementation and Effectiveness of Mindfulness Oriented Recovery Enhancement as an Adjunct to Methadone Treatment
|
Phase 3 | |
Active, not recruiting |
NCT03613155 -
Assessment of Anxiety in Patients Treated by SMUR Toulouse and Receiving MEOPA as Part of Their Care
|