Ignite Creation Date:
2024-06-16 @ 11:50 AM
Last Modification Date:
2024-10-26 @ 3:31 PM
Study NCT ID:
NCT06448845
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2024-06-07
First Post:
2024-05-12
Brief Title:
A Comparative Study Between Arm Intravenous Regional Anesthesia Versus Forearm Intravenous Regional Anesthesia in Patients Undergoing Hand and Wrist Surgery
Sponsor:
Ain Shams University
Organization:
Ain Shams University
Study Overview
Official Title:
A Comparative Study Between Arm Intravenous Regional Anesthesia Versus Forearm Intravenous Regional Anesthesia in Patients Undergoing Hand and Wrist Surgery A Randomized Comparative Prospective Clinical Study
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The technique of intravenous regional analgesia using a tourniquet consisting of two cuffs over the upper arm is a well-known procedure With the tourniquet being conventionally placed over the upper arm a relatively high dose of local anaesthetic drug is required and occasionally systemic toxic reactions have occurred
The purpose of the present study is to establish the efficacy of the technique of intravenous regional analgesia with a forearm tourniquet using reduced doses of lidocaine
The purpose of the present study is to establish the efficacy of the technique of intravenous regional analgesia with a forearm tourniquet using reduced doses of lidocaine
Detailed Description:
Several ways of anesthesia can be used to perform hand surgery being general anesthesia intravenous regional anesthesia as well as locoregional anesthesia Locoregional anesthesia and intravenous regional anesthesia are often performed since patients can be discharged from the hospital more rapidly A conventional Biers block is performed using a tourniquet on the upper arm to create a bloodless field and to contain the anesthetics within the surgical area
A mini-Biers block in which the tourniquet is placed on the forearm has been shown to be a safe and effective way of anesthesia to perform hand and wrist surgery By using this type of anesthesia the dose of the anesthetic can be reduced compared to a conventional Biers block which reduces the risk of systemic toxicity reactions
Intravenous regional anesthesia IVRA or Biers Block is a simple and effective but underused anesthetic technique for hand and wrist surgery This technique introduced by DrAugust Bier in1908 provides complete anesthesia as well as a bloodless field during surgery
Traditionally an upper arm tourniquet has been used to sequester the local anesthetic and to create a bloodless Surgical field Major complications after IVRA with an upper arm tourniquet are rare but are mostly related to local anesthetic systemic toxicity after release of the tourniquet
Use of a forearm tourniquet has been introduced in 1978 and comes with the big advantage of lower non-toxic local anesthetic dosage requirement to produce a good quality of analgesia
Consequently there is no minimal tourniquet inflation time after forearm IVRA In addition it has been postulated that sensory onset time after forearm IVRA may be shorter than after upper arm IVRA With these two features forearm IVRA may be the ideal anesthetic technique for short surgery of hand and wrist
A mini-Biers block in which the tourniquet is placed on the forearm has been shown to be a safe and effective way of anesthesia to perform hand and wrist surgery By using this type of anesthesia the dose of the anesthetic can be reduced compared to a conventional Biers block which reduces the risk of systemic toxicity reactions
Intravenous regional anesthesia IVRA or Biers Block is a simple and effective but underused anesthetic technique for hand and wrist surgery This technique introduced by DrAugust Bier in1908 provides complete anesthesia as well as a bloodless field during surgery
Traditionally an upper arm tourniquet has been used to sequester the local anesthetic and to create a bloodless Surgical field Major complications after IVRA with an upper arm tourniquet are rare but are mostly related to local anesthetic systemic toxicity after release of the tourniquet
Use of a forearm tourniquet has been introduced in 1978 and comes with the big advantage of lower non-toxic local anesthetic dosage requirement to produce a good quality of analgesia
Consequently there is no minimal tourniquet inflation time after forearm IVRA In addition it has been postulated that sensory onset time after forearm IVRA may be shorter than after upper arm IVRA With these two features forearm IVRA may be the ideal anesthetic technique for short surgery of hand and wrist
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None