Variation in the Effect of Dexamethasone Associated With Axillary Plexus on the Occurrence of Rebound Pain
NCT05763433 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 100
Last updated 2023-03-10
Summary
The study will evaluate pain and recovery after a single injection axillary plexus block combined with an intravenous dose of 0.1 mg/kg dexamethasone in ambulatory patients undergoing upper extremity bone surgery. The investigators will try to identify the risk factors involved in a decrease in the efficacy of dexamethaxone for the prevention of RP.
The hypotheses are that :
* The interindividual variability may modulate the preventive effect on "rebound pain" after axillary block, of pre-incisional administration of an anti-inflammatory dose of dexamethasone (0.1 mg/kg max 10 mg).
* Patients with increased preoperative anxiety or underlying catastrophizing will experience more postoperative pain as the axillary PNB dissipates.
* Elevated preoperative salivary lipocortin 1 and cortisol levels result in a lesser preventive effect of dexamethasone on the development of rebound pain.
Conditions
- Adjuvants, Anesthesia
- Brachial Plexus Anesthesia
Interventions
- OTHER
-
upper extremity bone surgery
any ambulatory upper limb bone surgery carried out under axillary PNB
Sponsors & Collaborators
-
Cliniques universitaires Saint-Luc- Université Catholique de Louvain
lead OTHER
Principal Investigators
-
Nassim TOUIL, MD · Cliniques universitaires Saint-Luc- Université Catholique de Louvain
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-03-15
- Primary Completion
- 2024-03-15
- Completion
- 2024-04-01
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