Perfusion Index as an Objective Measure for Supraclavicular Brachial Plexus Block in Pediatric Patients

Study Overview
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Brief Summary
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The aim of the present study is to evaluate the effects of supraclavicular brachial plexus block using perfusion index in pediatric patients undergoing Upper limb surgery.

Detailed Description
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The role of perfusion index in the prediction of peripheral block success was previously reported for infraclavicular brachial plexus block, axillary brachial plexus block, interscalene brachial plexus block, and supraclavicular brachial plexus in adult patients. The aim of the present study is to assess the effects of perfusion index on success of supraclavicular brachial plexus block in pediatric patients.

Official Title
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Evaluation of Perfusion Index as an Objective Measure for Supraclavicular Brachial Plexus Block in Pediatric Patients

Conditions
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Supraclavicular Brachial Plexus Block

Intervention / Treatment
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* Device: perfusion index


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: ASA physical status I-II Children undergoing Upper limb surgery. Parents' agreement. Exclusion Criteria: Parents' refusal. Children with behavioral changes Children with physical developmental delay Children on treatment with sedative or anticonvulsant.

Ages Eligible for Study
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Minimum Age: 1 Month
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Sevoflurane Group<br>sevoflurane is used for anesthetic induction | Device: perfusion index<br>* perfusion index in the prediction of peripheral block success was previously reported for infraclavicular brachial plexus block, axillary brachial plexus block, interscalene brachial plexus block, and supraclavicular brachial plexus in adult patients<br>|
| Propofol Group<br>intravenous anesthetic propofol is used for anesthetic induction | Device: perfusion index<br>* perfusion index in the prediction of peripheral block success was previously reported for infraclavicular brachial plexus block, axillary brachial plexus block, interscalene brachial plexus block, and supraclavicular brachial plexus in adult patients<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| perfusion index | Correlation between success of supraclavicular brachial plexus block and perfusion index | the time span between 1 day preoperative and 24 hours after surgery | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| mean arterial blood pressure | perioperative mean arterial blood pressure in mmHg | the time span between 1 day preoperative and 24 hours after surgery | 
| heart rate | perioperative heart rate as beat/min | the time span between 1 day preoperative and 24 hours after surgery | 
| PI ratio | Correlate between baseline PI and 10min after supraclavicular brachial plexus block | up to 10 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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perfusion index, supraclavicular brachial plexus block, children