Effect of Intravenous Dexmedetomidine Versus Dexamethasone for Management of Repound Pain After Supraclavicular Brachial Plexus Block

NCT ID: NCT06304909

Last Updated: 2024-04-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

PHASE1

Total Enrollment

111 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-31

Study Completion Date

2025-03-31

Brief Summary

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Effect of intravenous dexmedetomidine versus dexamethasone for management of repound pain after supraclavicular brachial plexus block.

Detailed Description

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Conditions

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Trauma Injury

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Dexmedetomidine group will receive 0.5 mcg/kg

Group Type EXPERIMENTAL

Dexmedetomidine injection

Intervention Type DRUG

Dexmedetomidine group will receive 0.5 mcg/kg

Dexamethasone group will receive 8mg/kg

Group Type EXPERIMENTAL

Dexmedetomidine injection

Intervention Type DRUG

Dexmedetomidine group will receive 0.5 mcg/kg

Control group will receive equivalent volume of saline 0.9%.

Group Type EXPERIMENTAL

Dexmedetomidine injection

Intervention Type DRUG

Dexmedetomidine group will receive 0.5 mcg/kg

Interventions

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Dexmedetomidine injection

Dexmedetomidine group will receive 0.5 mcg/kg

Intervention Type DRUG

Other Intervention Names

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Dexamethasone

Eligibility Criteria

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Inclusion Criteria

* Patients between 20\_60 years old

* Patients with ASA clinical status I/II
* Patients scheduled for peripheral nerve block for upper extremity surgery

Exclusion Criteria

* 1\) they refused to participate 2) had preexisting neuropathy of the surgical limb 3) hypersensitivity to amide anesthetic 4) significant pulmonary disease 5) coagulopathy 6) sepsis 7) infection at the block site 8) hypersensitivity to dexmedetomidine \& dexamethasone
Minimum Eligible Age

20 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Marwa Sayed Mohamed Ahmed

Resident

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Wesam Nashat Ali, Assistant professor

Role: STUDY_DIRECTOR

Assistant professor

Central Contacts

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Marwa Sayed Mohamed, physician

Role: CONTACT

01206696502

Mohamed Mohamed Abdellatif, Professor

Role: CONTACT

0100174 5301

References

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Kolny M, Stasiowski MJ, Zuber M, Marciniak R, Chabierska E, Pluta A, Jalowiecki P, Byrczek T. Randomized, comparative study of the effectiveness of three different techniques of interscalene brachial plexus block using 0.5% ropivacaine for shoulder arthroscopy. Anaesthesiol Intensive Ther. 2017;49(1):47-52. doi: 10.5603/AIT.2017.0009.

Reference Type BACKGROUND
PMID: 28362032 (View on PubMed)

Brattwall M, Jildenstal P, Warren Stomberg M, Jakobsson JG. Upper extremity nerve block: how can benefit, duration, and safety be improved? An update. F1000Res. 2016 May 18;5:F1000 Faculty Rev-907. doi: 10.12688/f1000research.7292.1. eCollection 2016.

Reference Type BACKGROUND
PMID: 27239291 (View on PubMed)

Falgas N, Sanchez-Valle R, Bargallo N, Balasa M, Fernandez-Villullas G, Bosch B, Olives J, Tort-Merino A, Antonell A, Munoz-Garcia C, Leon M, Grau O, Castellvi M, Coll-Padros N, Rami L, Redolfi A, Llado A. Hippocampal atrophy has limited usefulness as a diagnostic biomarker on the early onset Alzheimer's disease patients: A comparison between visual and quantitative assessment. Neuroimage Clin. 2019;23:101927. doi: 10.1016/j.nicl.2019.101927. Epub 2019 Jul 5.

Reference Type BACKGROUND
PMID: 31491836 (View on PubMed)

Hamilton DL. Rebound pain: distinct pain phenomenon or nonentity? Br J Anaesth. 2021 Apr;126(4):761-763. doi: 10.1016/j.bja.2020.12.034. Epub 2021 Feb 5. No abstract available.

Reference Type BACKGROUND
PMID: 33551124 (View on PubMed)

Bhatia P, Metta R. Rebound pain: Undesired, yet unexplored. J Anaesthesiol Clin Pharmacol. 2022 Oct-Dec;38(4):527-528. doi: 10.4103/joacp.joacp_435_22. Epub 2022 Dec 26. No abstract available.

Reference Type BACKGROUND
PMID: 36778810 (View on PubMed)

Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007 May;39(2):175-91. doi: 10.3758/bf03193146.

Reference Type BACKGROUND
PMID: 17695343 (View on PubMed)

Hong B, Oh C, Jo Y, Chung W, Park E, Park H, Yoon S. The Effect of Intravenous Dexamethasone and Dexmedetomidine on Analgesia Duration of Supraclavicular Brachial Plexus Block: A Randomized, Four-Arm, Triple-Blinded, Placebo-Controlled Trial. J Pers Med. 2021 Dec 1;11(12):1267. doi: 10.3390/jpm11121267.

Reference Type RESULT
PMID: 34945739 (View on PubMed)

Other Identifiers

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2080278

Identifier Type: -

Identifier Source: org_study_id

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