Comparative Factorial Study Design of Ultrasound Guided Wrist Block for Hand Surgery Comparing Effect of Bupivacane Alone and Bupivacane with Dexamethasone and Bupivacane with Dexametmiodine and Bupivacane with Dexamethasone and Dexametmiodine
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Group 1: ultrasound guided wrist block with bupivacane alone, Group 2 : ultrasound guided wrist block with bupivacane and dexamethasone, Group 3: ultrasound guided wrist block with bupivacane and dexametmiodine, Group 4: patients will receive ultrasound guided wrist block with bupivacane and dexamethasone and dexametmiodine.
- Who it may be relevant to
- Registry conditions: Hand Surgeries. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
A Comparative Factorial Study Design of Adjuvant Enhanced Ultrasound-Guided Wrist Block Anaesthesia for Hand Surgery : Bupivacane, Dexamethasone, Dexametmiodine
Overview
Ultrasound guided wrist block comparing effect of bupivacane alone and bupivacane with dexamethasone and bupivacane with dexametmiodine and bupivacane with dexamethasone and dexametmiodine
Detailed description
Ultrasound guided wrist block comparing effect of bupivacane alone and bupivacane with dexamethasone and bupivacane with dexametmiodine and bupivacane with dexametmiodine and dexamethasone.
Taking medical and surgical history from patients. Taking base line data as heart rate and blood pressure and spo2. Measure duration of analgesia for post operative pain using NRS for 24 hours abd recording NRS at time interval of 2 , 4,6,12,24 hours post operative.
Any patient the NRS above 4 will receive 5 mg nalbufin . Recording patients satisfaction by a survey .
Interventions
- Procedure Group 1: ultrasound guided wrist block with bupivacane alone
Ultrasound guided wrist block with 15 ml volume of bupivacane.25% - Procedure Group 2 : ultrasound guided wrist block with bupivacane and dexamethasone
Group 2 : patients receive ultrasound guided wrist block with bupivacane.25% and 8 mg dexamethasone.. 15 ml volume totally - Procedure Group 3: ultrasound guided wrist block with bupivacane and dexametmiodine
Group 3 will receive ultrasound guided wrist block with bupivacane.25% and 50 mcg dexametmiodine... 15 ml volume totally - Procedure Group 4: patients will receive ultrasound guided wrist block with bupivacane and dexamethasone and dexametmiodine
Group 4 patients will receive ultrasound guided wrist block with bupivacan.25%e and 8 mg dexamethasone and 50 mcg dexametmiodine
Primary outcome measures
- Comparing the effectiveness of bupivacane alone and bupivacane with dexamethasone and bupivacane with dexametmiodine and bupivacane with dexamethasone and dexametmiodine [Time frame: 24 hour]
Eligibility criteria
Inclusion criteria
\- Patients more than or equal 18 years old and are ASA 1-3
Exclusion criteria
- allergy to used medication
- pre exist neuropathy
- coagulapthy
- cognitive impairment
- refusal to participate
- Failed block and requiring general anesthesia
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- N/A
- Model
- Factorial
- Masking
- Open label
- Primary purpose
- Prevention
Study locations
Egypt · 1 center
- Aswan university hospital — Aswān
Identifiers
NCT: NCT06826690 · 963-9-24