Forearm and hand surgeries are among the most frequently performed surgical interventions both in trauma patients and electively.In these procedures, alternative anesthesia methods such as general anesthesia, regional intravenous anesthesia, regional peripheral nerve blocks and local anesthesia are available.
Peripheral nerve blockade can be used for anesthesia and analgesia.This method allows patients to undergo surgery without general anesthesia and increases patient satisfaction by providing effective analgesia in the postoperative period.
The aim of this study was to compare the conventional and retroclavicular approaches to infraclavicular block in patients undergoing forearm and hand surgery.
Patients 18-80 years of age
Those with ASA score II-III
Those with a body mass index (BMI) >30
Patients who are suitable for forearm and hand surgery under regional anesthesia in the operating room
Patients who cannot perceive and evaluate pain
Patients who want to have surgery under general anesthesia
Patients in whom regional anesthesia is contraindicated
Parallel
Conventional approach to infraclavicular block
Procedure/SurgeryConventional approach to infraclavicular block will be performed on the patients using 20 ml of 0.5% bupivacaine 5ml of %2 lidocaine under ultrasound guidance.
Retroclavicular approach to the infraclavicular block
Procedure/SurgeryRetroclavicular approach to the infraclavicular block will be performed on the patients using 20 ml of 0.5% bupivacaine 5ml of %2 lidocaine under ultrasound guidance.
Block Performance Time
Total block performance time (from skin puncture to needle removal) will be recorded
Pain Score
Pain will be assessed using a visual analog scale from 0 mm (no pain) to 100 mm (worst pain) at rest and when coughing. Pain assessment will be made at 0, 1, 6, 12, 18, and 24 hours after surgery.
Patient Satisfaction
Quality of recovery-15 (QoR-15) score was used as the satisfaction score. The patient-reported Turkish QoR-15 score includes 15 questions that evaluate the patient's postoperative recovery. The QoR-15 score is grouped under two groups, A and B. A high QoR-15 score, a score between 0 (poor) and 10 (excellent) for each item, and a total score of 150 indicate better quality of recovery.
Click on the lead sponsor to view all of their trials.
