Axillary Block in Association With Analgesic Truncal Blocks at the Elbow for Wrist Surgery.
Status:
Recruiting
Trial end date:
2022-10-21
Target enrollment:
Participant gender:
Summary
Fractures of the forearm bones that occur around the wrist are common in the elderly.
Standard anesthesia for its surgical treatment is regional anesthesia (RA): supraclavicular
block, infraclavicular block or axillary block (BAX). However, these techniques have some
limitations, such as the postoperative pain management and the non-specificity of the
analgesia. Indeed analgesia is not specific to the wrist and extends to the elbow and
forearm, preventing rapid recovery of elbow flexion and extension when a long-acting local
anesthetic (LA) is used. Recently RA techniques associating proximal anesthetic blocks with
distal analgesic blocks have been proposed to serve a dual objective: good anesthesia for
surgery and specific analgesia.
The hypothesis of this study is that, for the wrist surgery, axillary block using a
short-acting LA combined with analgesic blocks at the elbow using a long-acting LA could
provide a RA installation time reduction, an optimal surgical comfort, a longer
post-operative analgesia duration and a faster recovery from motor block.