Supraclavicular Blocks for Post-Operative Pain Control in Supracondylar Fracture Fixation, a Retrospective Analysis of Single Shot Catheter Techniques
Study Details
Study Description
Brief Summary
We hypothesize that patients who receive a supraclavicular block via Angiocath, placed intra-operatively and dosed post-operatively following neurologic examination, will have lower pain scores, lower use of intravenous morphine equivalents in the post-anesthesia care unit, and lower rates of intervention for post-operative nausea and vomiting. We also hypothesize that patients receiving this nerve block had the same rates of nerve damage as the patients who did not receive a block and that there will be no demonstrable safety concerns with this block.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: IV Opioids
|
Procedure: Elbow Fracture Fixation
|
Active Comparator: Supraclavicular Single-Shot Block
|
Procedure: Elbow Fracture Fixation
|
Active Comparator: Supraclavicular Catheter
|
Procedure: Elbow Fracture Fixation
|
Active Comparator: Supraclavicular Angiocath
|
Procedure: Elbow Fracture Fixation
|
Outcome Measures
Primary Outcome Measures
- Post-operative opioid use [24 hours]
Total doses
Secondary Outcome Measures
- Anti-emetic drug use [24 hours]
Total doses
- Incidence of nerve damage or compartment syndrome [1 month]
Evaluated by surgeon at follow up.
- Pain Score [24 hours]
Using Visual Analog Scale and FLACC pain scale (for younger children) we will compare pain scores in the various groups.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age under 18
-
Undergoing supracondylar fracture fixation in operating room
Exclusion Criteria:
- Incomplete or inaccessable chart data
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Ann & Robert H. Lurie Children's Hospital of Chicago | Chicago | Illinois | United States | 60611-2605 |
Sponsors and Collaborators
- Ann & Robert H Lurie Children's Hospital of Chicago
Investigators
- Principal Investigator: Santhanam Suresh, MD, Ann & Robert H Lurie Children's Hospital of Chicago
Study Documents (Full-Text)
None provided.More Information
Publications
- Steinfeldt J, Robison T, Przybylo HJ. Placement of an US-guided supraclavicular block postoperatively in children: can we make this easy? Paediatr Anaesth. 2010 Aug;20(8):780-1. doi: 10.1111/j.1460-9592.2010.03355.x.
- Suresh S, Sarwark JP, Bhalla T, Janicki J. Performing US-guided nerve blocks in the postanesthesia care unit (PACU) for upper extremity fractures: is this feasible in children? Paediatr Anaesth. 2009 Dec;19(12):1238-40. doi: 10.1111/j.1460-9592.2009.03182.x.
- 2014-15849