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IRCT20181220042064N1 IRCT 2019-02-25 Ahvaz University of Medical Sciences The Effect of Ketamine-Lidocaine and Fentanyl-Lidocain on Postoperative Analgesia in Axillary Block with Ultrasound Guide in upper Limb Fractures Comparison the Effect of Ketamine-Lidocaine and Fentanyl-Lidocain on Postoperative Analgesia in Axillary Block with Ultrasound Guide in upper Limb Fractures 2019-02-20 anticipated 60 Complete https://irct.ir/trial/37738 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Individuals are randomly divided into two groups based on randomized block randomization method. Randomized blocks are used for this purpose. A random sample based on this method from Sealedenvelope.com has been extracted, Blinding description: Surgeon, responsible for collecting data and data analyzer are unaware of the grouping of patients. 3 Fracture of upper limb. Intervention 1: Intervention group (1): Patients are received 4 mg/kg lidocaine 1% and 50 mcg fentanyl during axillary block. Intervention 2: Intervention group (2): Patients are received 4 mg/kg lidocaine 1% and 30 mg ketamine during axillary block. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is There is no more information
public Bahram Mohamad Tasbihi
Imam Khomeini Hospital, Azadegan Ave.
Ahvaz Iran (Islamic Republic of) 6135715794 +98 61329235893 Tasbihi.b@ajums.ac.ir Ahvaz University of Medical Sciences scientific Reza Akhondzadeh
Imam Khomeini Hospital, Azadegan Ave.
Ahvaz Iran (Islamic Republic of) 6135715794 +98 61329235893 Rezaakh@hotmail.com Ahvaz University of Medical Sciences Iran (Islamic Republic of) Patients under orthopedic surgery of forearm and hand fractures Age group 18 to 75 years American Society of Anesthesiologists (ASA) classification I , II 18 years 75 years Both Allergic reaction to drugs used in the study Patients with anemia or bleeding disorders Infection of block location Nerve damage of the limb caused by trauma Neuropathy and addiction to narcotics Patient dissatisfaction T10 Fracture of upper limb, level unspecified Treatment - Drugs Treatment - Drugs Intervention group (1): Patients are received 4 mg/kg lidocaine 1% and 50 mcg fentanyl during axillary block. Intervention group (2): Patients are received 4 mg/kg lidocaine 1% and 30 mg ketamine during axillary block. Postoperative pain. Timepoint: 0 (immediately after admission to recovery room), 1, 2, 4, 8, 16 and 24 hours after the completion of the surgical operation. Method of measurement: Visual Analogue Scale (VAS). The time of completion of the sensory block. Timepoint: Every 15 minutes after the patient enters the recovery room. Method of measurement: Pinprick test. The time of completion of the motor block. Timepoint: Every 15 minutes after the patient enters the recovery room. Method of measurement: Three-point scale test. The first time of request for narcotic after surgery. Timepoint: From entering the patient to the recovery room for up to 24 hours after surgery. Method of measurement: According to hour. The amount of narcotic consumption after surgery. Timepoint: From entering the patient to the recovery room for up to 24 hours after surgery. Method of measurement: The dose of pethidine (mg/kg). Ahvaz University of Medical Sciences Approved 2018-04-21 Ethics committee of Ahvaz University of Medical Sciences Research deputy, Ahvaz Jundishapur University Of Medical Sciences, Golestan Blvd. Ahvaz Khouzestan Iran (Islamic Republic of)