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Patients undergoing surgery of the hand often are treated with a nerve block in the shoulder/neck area that provides anesthesia/numbing during surgery. Nerve blocks usually last for a few hours after surgery and provide pain relief for this period. It may be possible to extend the duration of anesthesia by using a steroid, which has anti-inflammtory properties. This study will compare the duration of the nerve block when dexamethasone (steroid) is added to the anesthetic injected around the nerve.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental | Dexamethasone 8mg added to routine local anesthetic during brachial plexus blockade. |
|
| 2 | Active Comparator | Routine anesthetic solution (30 cc 1.5% mepivicaine) used during brachial plexus blockade. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dexamethasone | Drug | Dexamethasone 8 milligrams (liquid) will be added to standard anesthetic solution administered during routine brachial plexus nerve blockade. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Duration of anesthesia | hourly for first 24 hours; daily until discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Requirements for pain medications; complications | up to 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Toronto Western Hospital, University Health Network | Toronto | Ontario | M6G 2N6 | Canada |
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| ID | Term |
|---|---|
| D003907 | Dexamethasone |
| ID | Term |
|---|---|
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
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| Mepivicaine | Drug | Standard anesthetic solution administered during routine brachial plexus nerve blockade. |
|
| D000072473 |
| Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |