Postoperative Pain Clinical Trial
Official title:
Evaluation of Lateral Sagittal Infraclavicular Block According to Vena Cava Inferior Collapsibility Index (VCI-CI): An Observational Study
Verified date | December 2023 |
Source | Basaksehir Cam & Sakura Sehir Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational [Patient Registry] |
In patients with fluid deficit, vasoconstriction occurs in peripheral tissues and blood circulation is kept in the central area. It causes arterial vasodilation and hemodynamic variability by increasing the blood volume of the extremity due to the sympathectomy occurring after the block. When the investigators classify patients according to VCI-CI, it will be questioned whether there is a difference between patients' block quality and hemodynamic variability.
Status | Completed |
Enrollment | 60 |
Est. completion date | December 3, 2023 |
Est. primary completion date | December 3, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility | Inclusion criteria: - Hand and Wrist elective surgery - Infraclavicular block will be applied - American Society of Anesthesiologists (ASA) physical condition I-II - Patients aged 18-65 years Exclusion Criteria: - Contraindication for central or peripheral blocks - Cognitive dysfunction - History of chronic opioid use - severe organ dysfunction - Allergy to any drug used in the study - Body mass index (BMI) =30 - Infection in the area to be treated - Refusal to participate in the research |
Country | Name | City | State |
---|---|---|---|
Turkey | Ergun Mendes | Küçükçekmece | I?stanbul |
Lead Sponsor | Collaborator |
---|---|
Basaksehir Cam & Sakura Sehir Hospital |
Turkey,
Zhang H, Yuan H, Yu H, Zhang Y, Feng S. Correlation between pleth variability index and ultrasonic inferior vena cava-collapsibility index in parturients with twin pregnancies undergoing cesarean section under spinal anesthesia. Eur J Med Res. 2022 Aug 6;27(1):139. doi: 10.1186/s40001-022-00771-3. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Doppler flow change from baseline to postoperative period | Before the block, with the help of 8-12 mHz linear probe, the axillary artery of the patients will be determined in the lateral sagittal plane and their diameters at the time of systole and diastole will be determined. After the arterial diameters are determined, the probe will be positioned to view the artery in a linear line with 90 degree rotation. After imaging the axillary artery in the long axis, confirming it with 5 sequential flows in B-mode Doppler, PSV (Peak systolic velocity), EDV (End diastolic velocity), mV (mean velocity), RI index and PI index probe angulation at 30-60 degree angle, ultrasound will be measured automatically. After the block, the sensory and motor block times of the patients were determined and these times were recorded. | Perioperative period | |
Secondary | VAS (Visual Analog Scala) score | The patients were followed up with a VAS score between 0-10 in the postoperative period. A VAS score of 0 was defined as no pain, and 10 as the most severe pain imaginable. | Postoperative 24th hour | |
Secondary | Analgesic consumption | he value in mg of the amount of analgesic consumed in the postoperative period. It was administered with a PCA device that had regular infusions and was able to deliver bolus doses at regular intervals | Postoperative 24th hour | |
Secondary | Postoperative nausea and vomiting | The frequency of nausea and vomiting in the postoperative period was calculated according to the Numeric Rank Score (NRS), which ranged from 0 to 3. Nausea-vomiting status of the patients: 0 points if there is no nausea and vomiting; 1 point if there is nausea, no vomiting; It is scored as 2 points if there is vomiting once and 3 points if there are two or more vomiting attacks. | Postoperative 24th hour |
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