Effect of Infraclavicular and Interscalen Block on Oxygenitaon of the Forearm

Study Overview
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Brief Summary
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to research the oxygenitaon effects of infraclavicular and interscalene blocks on the forearm.

Detailed Description
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To research the oxygenation effects of infraclavicular and interscalen blocks on the forearm by comparing the blood flow (BF) values using the USG, Perfusion index (PI) and Near infrared spectroscopy (NIRS) values using the massimo device.

Official Title
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Effect of Infraclavicular and Interscalen Block on Oxygenitaon of the Forearm : Randomized Controlled Study.

Conditions
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Upper Extremity Fracture

Intervention / Treatment
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* Procedure: Infraclavicular Block
* Procedure: Interscalen Block


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: aged between 18-65 ASA Score I-III undergoing elective or emergency arm, elbow and forearm surgery Exclusion Criteria: Patient's refusal for Brachial Plexus Blockage Patients who had any neurological disorders preventing the evaluation of the sensory block in the upper extremity, Infection in the area to be blocked with ICB or ISB, Non-cooperated patients Patients with coagulopathy, Morbidly obese patients Patients with diabetes mellitus Patients with hypertension Patients with peripheral artery disease Patients with allergy to the drugsto be used Patients who had trauma in the area scheduled for the block Paitens who had deterioration of anatomical integrity because of previous surgery Pregnant women Patients whose block failed

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: The study will be a two-arm parallel assignment. One group will receive infraclavicular block and the other will receive interscalen block
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Infraclavicular Block<br>Group I received USG and neurostimulator guided infraclavicular block, 10 ml 2% lidocain and 10 ml 0.05% marcaine was administered for local anetshesia. After the block was administered MAP, HR, TAV, BAD, BAA, BF, PI and rSO 2 values were measured and recorded at the 10th, 20th, and 30th minutes. | Procedure: Infraclavicular Block<br>* USI and neurostimulator guided infraclavicular block, 10 ml 2% lidocain and 10 ml 0.05% marcaine was administered for local anetshesia. After the block was administered MAP, HR, TAV, BAD, BAA, BF, PI and rSO 2 values were measured and recorded at the 10th, 20th, and 30th minutes.<br>|
| Experimental: Interscalen Block<br>Group II received USG and neurostimulator guided interscalen block. 10 ml 2% lidocain and 10 ml 0.05% marcaine was administered for local anetshesia. After the block was administered MAP, HR, TAV, BAD, BAA, BF, PI and rSO 2 values were measured and recorded at the 10th, 20th, and 30th minutes. | Procedure: Interscalen Block<br>* USI and neurostimulator guided interscalen block, 10 ml 2% lidocain and 10 ml 0.05% marcaine was administered for local anetshesia. After the block was administered MAP, HR, TAV, BAD, BAA, BF, PI and rSO 2 values were measured and recorded at the 10th, 20th, and 30th minutes.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| oxygenation of the forearm | to compare the oxygenation of the forearm by measuring perfusion index device | during the procedure three times |