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Ultrasound guided wrist block comparing effect of bupivacane alone and bupivacane with dexamethasone and bupivacane with dexametmiodine and bupivacane with dexamethasone and dexametmiodine
Ultrasound guided wrist block comparing effect of bupivacane alone and bupivacane with dexamethasone and bupivacane with dexametmiodine and bupivacane with dexametmiodine and dexamethasone.
Taking medical and surgical history from patients. Taking base line data as heart rate and blood pressure and spo2. Measure duration of analgesia for post operative pain using NRS for 24 hours abd recording NRS at time interval of 2 , 4,6,12,24 hours post operative.
Any patient the NRS above 4 will receive 5 mg nalbufin . Recording patients satisfaction by a survey .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1: ultrasound guided wrist block with bupivacane alone | Active Comparator | Group 1: ultrasound guided wrist block with bupivacane.025% .. 15 ml volume totally | |
| Group2: ultrasound guided wrist block with bupivacane.25% and 8mg dexamethasone | Active Comparator | Group 2: 40 patients receive ultrasound guided wrist block with 15 ml volume including bupivacane.25% and 8 mg dexamethasone | |
| Group 3: ultrasound guided wrist block with bupivacane and dexametmiodine | Active Comparator | Group 3: 40 patients receive ultrasound guided wrist block with 15 ml volume totally including bupivacane.25% and 50 mcg dexametmiodine | |
| Group 4: ultrasound guided wrist block with bupivacane and dexametmiodine and dexamethasone | Active Comparator | Group 4 : 40 patients receive ultrasound guided wrist block with 15 ml volume including bupivacane.25% and 8 mg dexamethasone and 50 mcg dexametmiodine |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group 1: ultrasound guided wrist block with bupivacane alone | Procedure | Ultrasound guided wrist block with 15 ml volume of bupivacane.25% | ||
| Measure | Description | Time Frame |
|---|---|---|
| Comparing the effectiveness of bupivacane alone and bupivacane with dexamethasone and bupivacane with dexametmiodine and bupivacane with dexamethasone and dexametmiodine | Comparing duration of analgesia by each combination from block administration to first request of analgesia | 24 hour |
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Inclusion Criteria:
- Patients more than or equal 18 years old and are ASA 1-3
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mahmoud RAFAAT Mohamed, Resident doctor | Contact | 201024289235 | ra2fat.mahmoud@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Zaher Zaki Zaher, Specialist | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Aswan university hospital | Recruiting | Aswān | Aswan Governorate | Egypt |
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| Group 2 : ultrasound guided wrist block with bupivacane and dexamethasone |
| Procedure |
Group 2 : patients receive ultrasound guided wrist block with bupivacane.25% and 8 mg dexamethasone.. 15 ml volume totally |
| Group 3: ultrasound guided wrist block with bupivacane and dexametmiodine | Procedure | Group 3 will receive ultrasound guided wrist block with bupivacane.25% and 50 mcg dexametmiodine... 15 ml volume totally |
| Group 4: patients will receive ultrasound guided wrist block with bupivacane and dexamethasone and dexametmiodine | Procedure | Group 4 patients will receive ultrasound guided wrist block with bupivacan.25%e and 8 mg dexamethasone and 50 mcg dexametmiodine |
| ID | Term |
|---|---|
| D003907 | Dexamethasone |
| ID | Term |
|---|---|
| D011246 | Pregnadienetriols |
| D011245 | Pregnadienes |
| D011278 | Pregnanes |
| D013256 | Steroids |
| D000072473 | Fused-Ring Compounds |
| D011083 | Polycyclic Compounds |
| D013259 | Steroids, Fluorinated |
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