Changes in Vessels After Peripheral Block

CompletedOBSERVATIONAL
Enrollment

60

Participants

Timeline

Start Date

August 2, 2023

Primary Completion Date

December 3, 2023

Study Completion Date

December 3, 2023

Conditions
Anesthesia, LocalVena Cava Syndrome (Inferior) (Superior)Fluid LossPostoperative Pain
Interventions
PROCEDURE

Lateral Sagittal Infraclavicular Block

Patients will be in the supine position and after aseptic conditions are provided, the axillary artery of the patient will be visualized in the craniocaudal plane, in the infraclavicular region and in the lateral sagittal position with the help of an 8-12 mHz linear probe. After the brachial plexus cords around the axillary artery are identified, a local anesthetic mixture will be applied in-plane between the posterior cord and the artery. During the block, patients will routinely be given a mixture of 0.25% bupivacaine + 0.5% lidocaine 0.5 mL/kg.

PROCEDURE

Inferior vena cava diameter >1.5 cm and Vena Cava Inferior Collapsibility Index (VCI-CI) < 50%

While the patients are lying in the supine position, the vena cava will be determined 2 cm before the inferior heart entrance with the help of a 3.5-5 mHz convex probe. M-mode ECHO will be used to determine the fluctuation rate of the VCI between inspiration and expiration. After determining the farthest and closest points in M-mode ECO, their ratios to each other will be calculated.

DIAGNOSTIC_TEST

Inferior vena cava diameter <1.5 cm and Vena Cava Inferior Collapsibility Index (VCI-CI) > 50%

While the patients are lying in the supine position, the vena cava will be determined 2 cm before the inferior heart entrance with the help of a 3.5-5 mHz convex probe. M-mode ECHO will be used to determine the fluctuation rate of the VCI between inspiration and expiration. After determining the farthest and closest points in M-mode ECO, their ratios to each other will be calculated.

Trial Locations (1)

34000

Ergun Mendes, Küçükçekmece

All Listed Sponsors
lead

Başakşehir Çam & Sakura City Hospital

OTHER_GOV