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The sensory innervation of the clavicle remains an area of debate. Regional nerve blocks aimed at relieving pre- and post-operative pain include the superficial cervical plexus blocks, interscalene blocks and a combined version of the above. In this case study, the investigators aim to describe the protocol used in a university hospital: general anaesthesia with interscalene brachial plexus block, followed by optional iv morphine administration in phase 1 recovery and oral oxycodone on the ward.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interscalene brachial plexus block | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interscalene brachial plexus block | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| IV Morphine consumption in phase 1 recovery (mg) | morphine administered in postanaesthetic care unit by nursers if pains score > 3/10, per protocol | 0-2 hours after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Pain scores at rest and on movement (numeric rating scale, 0-10) | Postoperative day 0 and 1 | |
| Postoperative nausea and vomiting (yes/no) | Postoperative day 0 and 1 | |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lausanne University Hospital | Lausanne | Canton of Vaud | 1011 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32312249 | Derived | Olofsson M, Taffe P, Kirkham KR, Vauclair F, Morin B, Albrecht E. Interscalene brachial plexus block for surgical repair of clavicle fracture: a matched case-controlled study. BMC Anesthesiol. 2020 Apr 20;20(1):91. doi: 10.1186/s12871-020-01005-x. |
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| ID | Term |
|---|---|
| D059787 | Acute Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Itching (yes/no) |
| Postoperative day 0 and 1 |
| Cumulative oxycodone consumption (mg) | up to postoperative day 1 |