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CUHK_CCT00271
2010-10-25
Retrospective
Nil
Department resources (The Department of Anesthesia and Intensive Care)
Nil
Nil
Winnie Samy
Department of Anesthesia and Intensive Care
26322735
wsamy@cuhk.edu.hk
Department of Anesthesia and Intensive Care
Manoj K Karmakar
Department of Anesthesia and Intensive Care
26322735
karmakar@cuhk.edu.hk
Department of Anesthesia and Intensive Care
Prospective Randomized Evaluation of the Haemodynamic Effects in the Ipsilateral Upper Extremity after an Ultrasound Guided Axillary or Supraclavicular Brachial Plexus Block
Prospective Randomized Evaluation of the Haemodynamic Effects in the Ipsilateral Upper Extremity after an Ultrasound Guided Axillary or Supraclavicular Brachial Plexus Block
Haemodynamic effects of ipsilateral brachial plexus block
China
Yes
2010-07-14
Nil
Procedure
Ultrasound guided brachial plexus block through either the axillary or supraclavicular route
30 minutes
The changes in arterial haemodynamics in the upper extremity will be compared between ultrasound guided axillary and supraclavicular brachial plexus block.
28 consenting adult patients, ASA І-II, undergoing forearm or hand surgery at the Prince of Wales Hospital will be recruited
Patient refusal, ASA physical status>Ⅲ, hypertension, cardiac disease, autonomic dysfunction, diabetes mellitus, nerve injury or neuropathy disorders, connective tissue disorders, diagnosed peripheral vascular disease, status of coagulation or anticoagulation, skin infection at the site of needle insertion, a contraindication to regional anaesthesia, the presence of an arteriovenous fistula in the arm, sepsis, and pregnancy
19
65
Both Male and Female
Interventional
Randomized
Uncontrolled
Open label
Parallel
2010-08-28
28
Recruiting
Haemodynamic parameters (PSV, EDV, ratio of PSV and EDV (S/D), Vmean, TAVM, RI and PI) and diameter measurement will be performed in brachial artery and common palmar digital artery before the brachial plexus block, and repeated at regular intervals for 30 minutes, (5min, 10min, 20min, and 30mins) after the ultrasound guided BPB. At the same time intervals, heart rate and blood pressure will be also recorded. Skin temperature in the palmar aspect of both thumbs will be also recorded at the same time intervals. Core temperature will be also recorded at 30 min after the BPB to determine if there are any changes in core temperature during the study period.
Success of the block will be defined as abolition of sensation to cold (ice) and paralysis of the muscles in the ipsilateral hand and forearm and will be assessed at the same time intervals as the haemodynamic measurements after the brachial plexus block.
2012-11-13
Yes
Nil
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