Health TrialsbyHealthPanel

Efficacy of Variable Volume Truncal Blocks in Upper Limb Orthopedic Surgery

ConditionsPain ManagementAnaesthesia Complication
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorGaziosmanpasa Research and Education Hospital

About this trial

aim of this study is to compare the effect of selective truncal blocks, performed at different doses and volumes, on the onset times of motor and sensory blocks required for anesthesia in patients scheduled for hand, wrist, forearm, and elbow surgeries. Completing the operation under regional anesthesia will be considered a successful block.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

ASA 1-2

Body Mass Index (BMI) of 18-35 kg/m²

Age: 18-65 years -Patients undergoing all upper extremity orthopedic surgeries, except shoulder surgeries (distal humerus, elbow, forearm, hand, and wrist), will be included. -

Disqualifiers

Patient refusal

Pregnancy or breastfeeding

Severe pulmonary disease

Contralateral diaphragm paralysis

Trial design

Design model

Parallel

Treatments tested in this trial

  • Selective turuncus block with 25 ml bupivacain

    Procedure/Surgery

    A high-frequency linear ultrasound (USG) probe will be used to locate the C7 transverse process, which will serve as a sonoanatomic landmark. Once the C5 ventral ramus is identified at the C7 transverse process level, the linear probe will be slightly caudally angled to visualize the C6 ventral ramus. The area where the superior trunk is formed by C5 and C6 will be examined with the USG probe until the superior trunk is visualized. Below the superior trunk, the middle trunk and the C8 ventral ramus will be visible. In Group 1, a total of 23 ml of 0.5% bupivacaine plus 2 ml (8 mg dexamethasone) will be used as the local anesthetic mixture, totaling 25ml. 7ml of the local anesthetic mixture will be injected into the superior trunk, the middle trunk for an additional 8 ml. The probe will then be directed caudally to obtain an optimal view of the lower trunk, where 10 ml of the same mixture will be injected close to the lower trunk.

  • Selective turuncus block with 15 ml bupivacain

    Procedure/Surgery

    In Group 2, 13 ml of 0.5% bupivacaine plus 2 ml (8 mg dexamethasone) will be used, totaling 15 ml. In Group 2, 5 ml of the local anesthetic mixture will be injected into the superior trunk, followed by 5 ml into the middle trunk and 5 ml into the lower trunk, as in Group II.

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: with 15 ml SeTb groupActive comparator 1 intervention
Group B: With 25 ml bupivacain SeTbActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

on the onset times of motor and sensory blocks required for anesthesia

The primary outcome of this study is to compare the effect of selective truncal blocks, performed at different doses and volumes, on the onset times of motor and sensory blocks required for anesthesia in patients scheduled for hand, wrist, forearm, and elbow surgeries. Completing the operation under regional anesthesia will be considered a successful block.

Time frame
24 hour

Secondary outcomes

1

Total Opioid Consumption

total analgesic consumption within the first 24 postoperative hours

Time frame
24 hour
2

time to first rescue analgesic requirement.

time to first postoperative analgesic administration,

Time frame
24 hour
3

diaphragm paralysis

ASSESMENT OF diaphragm paralysis

Time frame
24 hour

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Gaziosmanpasa Research and Education Hospital

Lead sponsor

Source ClinicalTrials.gov
Apply now