Comparison of Ultrasound-guided Brachial Plexus Blocks and Selective Distal Blocks in Terms of Anesthesia

NCT05656625 | Completed

• 1 other identifier: distal block
• Study Type: observational
• Target: 2
• Locations: 1 country
• Sites: 1

Brief Summary

Ultrasound-guided brachial plexus blocks (infraclavicular, axillary) can be applied as the main anesthetic method in hand and wrist surgeries, as well as single or combination block applications of the median, radial and ulnar nerves at the forearm level. Here, we aimed to retrospectively evaluate the perioperative and postoperative data of patients who underwent hand and wrist surgery under distal nerve blocks and brachial plexus blocks in our hospital.

Conditions

Pain, Postoperative; Anesthesia, Local; Patient Satisfaction

Keywords

distal nerve block,patient satisfaction,hand surgery

Outcome Measures

Primary Outcomes (1)

• Quality in Anaesthesia

  The patients were called by phone and asked to evaluate the anesthesia technique used in their surgery. Three main judgments including 'quality of anesthesia', 'whether they would prefer the same anesthesia again' and 'whether they would recommend this technique to others' were evaluated with a 5-point Likert scale. 5 point Likert scale consists of 5 answer options which will contain two extreme poles and a neutral option connected with intermediate answer options. In evaluation of parient satisfaction, we used 5 point Likert scale example to measure satisfaction is: (1) Very dissatisfied, (2)Dissatisfied, (3) Neither satisfied nor dissatisfied, (4) Satisfied , (5)Very satisfied . In other terms, (1) Strongly disagree; (2) Disagree; (3) Neither agree nor disagree; (4) Agree; (5) Strongly agree.

  up 24 hours

Secondary Outcomes (4)

• discharge time

  up to 24 hours

• block performance time

  intraoperative

• additional anesthetic/analgesic requirement

  perioperative period

• complications

  up to 24 hours

Study Arms (2)

group distal nerve block(DNB)

Radial, median and ulnar nerve blocks were used alone or in combinations as a method of anesthesia for patients who had undergone hand and wrist surgery.

Other: descriptive

group brachial plexus block(BPB)

Brachial plexus blocks (infraclavicular, axillary etc.) was applied to patients who were going to undergo hand and wrist surgery.

Other: descriptive

Interventions

descriptive OTHER

The block performed (distal peripheral nerve block and/or brachial nerve block) and the volume applied, block performance time, first analgesia times, surgery times, surgery types, discharge times, presence of additional complaints will be recorded. The data obtained by grouping the patients according to the type of anesthesia applied (brachial plexus block and distal nerve blocks) will be subjected to statistical analysis.

group brachial plexus block(BPB); group distal nerve block(DNB)

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients over the age of 18 who go to hand and wrist surgery will be included.

You may qualify if:

• Patients over the age of 18 who go to hand and wrist surgery will be included.

You may not qualify if:

• Patients who have undergone surgical intervention in more than one region in the same session and who have psychiatric disorders that will affect the perception of pain will be excluded from the study.

Sponsors & Collaborators

• Samsun University: lead

Study Sites (1)

Samsun University

Samsun, Ilkadım, 55100, Turkey (Türkiye)

Location

Related Publications (2)

• Soberon JR Jr, Crookshank JW 3rd, Nossaman BD, Elliott CE, Sisco-Wise LE, Duncan SF. Distal Peripheral Nerve Blocks in the Forearm as an Alternative to Proximal Brachial Plexus Blockade in Patients Undergoing Hand Surgery: A Prospective and Randomized Pilot Study. J Hand Surg Am. 2016 Oct;41(10):969-977. doi: 10.1016/j.jhsa.2016.07.092. Epub 2016 Aug 11.

  PMID: 27524691 RESULT

• Ince I, Aksoy M, Celik M. Can We Perform Distal Nerve Block Instead of Brachial Plexus Nerve Block Under Ultrasound Guidance for Hand Surgery? Eurasian J Med. 2016 Oct;48(3):167-171. doi: 10.5152/eurasianjmed.2016.0256.

  PMID: 28149139 RESULT

MeSH Terms

Conditions

Pain, Postoperative; Patient Satisfaction

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• gamze MD ertaş, specialist

  Samsun University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator

Study Record Dates

• First Submitted: November 21, 2022
• First Posted: December 19, 2022
• Study Start: December 20, 2022
• Primary Completion: December 29, 2022
• Study Completion: December 29, 2022
• Last Updated: December 30, 2022

Record last verified: 2022-12

Locations

TU (1)