Axillary Block in Association With Analgesic Truncal Blocks at the Elbow for Wrist Surgery.

• Status: Recruiting
• Trial end date: 2022-10-21
• Target enrollment: 0
• Participant gender: All

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.

• Phase: N/A
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: CMC Ambroise Paré
• Treatments: Analgesics; Anesthetics; Anesthetics, Local; Lidocaine; Ropivacaine

Criteria

Inclusion Criteria:

• Patients undergoing wrist fracture surgery under regional anesthesia

• Consent for participation

• Affiliation to the French social security system

Exclusion Criteria:

• Chronic use of opiod analgesics

• Chronic pain syndrome or fibromyalgia

• Contraindication for locoregional anesthesia

• Contraindication for opioid

• ASA IV

• Pregnant or breastfeeding women

• Patients under protection of the adults (guardianship, curators or safeguard of justice)

• Communication difficulties or neuropsychiatric disorder