The Influence of Warm Bupivacaine on Supraclavicular Plexus Block Characteristics
The Influence of Bupivacaine Temperature on Supraclavicular Plexus Block Characteristics
Despite PH adjustment of local anesthetic solution improves the quality of the block in all respects with special advantage of early onset of sensory and motor block, adequate level of analgesia, and prolongation of duration of block, the effect of warmed bupivacaine should have the same effect which have not been evaluated on supraclavicular plexus block for upper limb surgery.
The warmed bupivacaine used in supraclavicular plexus block may reduce sensory and motor block onset and prolong the duration of analgesia when compared to bupivacaine at operating room temperature.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
DK
-
Mansourah, DK, Egypten, 050
- Mansoura University, Faculty of Medicine
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- American Society of Anesthesiologists physical class I or II
Exclusion Criteria:
- Patient refusal.
- Pregnancy
- Neuromuscular diseases (as myopathies, myasthenia gravies…)
- Hematological diseases
- Bleeding disorders
- Coagulation abnormality.
- Psychiatric diseases.
- Local skin infection
- Sepsis at site of the block.
- Known intolerance to the study drugs.
- Body Mass Index > 40 Kg/m2.
- Bilateral upper limb injury to be performed at the same procedure.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Støttende pleje
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Dobbelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Warm bupivacaine at (37°c)
Warmed bupivacaine at body temperature will be administered
|
Bupivacaine 0.5%, 30 mL, warmed to 37◦C for 20 minutes.
The empty syringes and needles, in their packaging, will be held at the same temperature before initiating the block.
|
|
Aktiv komparator: Bupivacaine at operating room temperature (23°c)
Bupivacaine at temperature of 23°C will be administered
|
Bupivacaine 0.5%, 30 ml held in crash shelf of the operating room temperature at 23◦C.
The empty syringes and needles will be held in the same temperature before use.
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Time to onset of sensory block
Tidsramme: for 30 min following injection
|
defined as the time interval between the end of local anesthetic injection and the loss of sensation to pinprick (sensory score = 1)
|
for 30 min following injection
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Time to onset of motor block
Tidsramme: For 3 hours after the injection of local anesthetic
|
defined as time interval between the end of local anesthetic injection and (motor score = 1) in the distributions of all 4 peripheral nerves.
|
For 3 hours after the injection of local anesthetic
|
|
Heart rate
Tidsramme: For 3 hours after the injection of local anesthetic
|
For 3 hours after the injection of local anesthetic
|
|
|
Blood pressure
Tidsramme: For 3 hours after the injection of local anesthetic
|
For 3 hours after the injection of local anesthetic
|
|
|
oxygen saturation in the peripheral blood
Tidsramme: For 3 hours after the injection of local anesthetic
|
For 3 hours after the injection of local anesthetic
|
|
|
Duration of sensory block
Tidsramme: For 24 hours after the injection of local anesthetic
|
defined as the interval between end of injection and complete end of sensory block (score=2)
|
For 24 hours after the injection of local anesthetic
|
|
Duration of motor block
Tidsramme: For 24 hours after the injection of local anesthetic
|
defined as the interval between end of injection and complete recovery of normal motor function (score=0), respectively.
|
For 24 hours after the injection of local anesthetic
|
|
The severity of postoperative pain
Tidsramme: For 24 hours after the injection of local anesthetic
|
will be measured and recorded by using a 100-cm visual analog scale (VAS) for pain, where 0 is equal to no pain and 100 indicates the worst possible pain.
|
For 24 hours after the injection of local anesthetic
|
|
Time for first analgesic request
Tidsramme: For 24 hours after the injection of local anesthetic
|
Time to the first receiving of rescue analgesic from the time of blockade
|
For 24 hours after the injection of local anesthetic
|
|
Total analgesics received
Tidsramme: for 24 hrs after the injection of local anesthetic
|
Cumulative use of rescue analgesics after performing the blockade
|
for 24 hrs after the injection of local anesthetic
|
|
Satisfaction Score
Tidsramme: for 48 hrs after the injection of local anesthetic
|
Using score including 5-Excellent, 4-Very Good, 3-Good, 2-Fair, and 1-Poor
|
for 48 hrs after the injection of local anesthetic
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studiestol: Mohamed Y Makharita, MD, Professor of Anesthesia and Surgical Intensive Care
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- MFM-IRB, MS/17.05.143
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
IPD-deling Understøttende informationstype
- STUDY_PROTOCOL
- SAP
- ICF
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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