To investigate pre-op peripheral nerve block in reducing peri-op IL-6 level and post-op pain
In orthopedic surgery, peripheral nerve block can be used as an anesthesia adjuvant prior to surgery. In this study, we hypothesized that peripheral nerve blocks may alleviate inflammatory response and reduce the analgesics requirement. Sixty patients undergoing limb orthopedic surgery will be enrolled. Peripheral nerve block was injected with 0.25% bupivacaine under ultrasound guidance. 30 patients (Study group) underwent surgery with nerve blocks and another 30 patients (Control group) underwent surgery with morphine. The anesthetic protocol was standardized for both groups by experienced anesthesiologists. Surgical stress was assessed by blood pressure fluctuation and proinflammatory cytokine. Pain intensity was measured by numeric rating scale (NRS) score for 24 hours
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
60
nerve block procedure will be decided by patients' will for post-op pain
I-Cheng Lu
Kaohsiung City, Taiwan
Kaohsiung Municipal Siaogang Hospital
Kaohsiung City, Taiwan
peak pain intensity in the postoperative care unit
pain score evaluated by pain score
Time frame: 2 hours
change of perioperative IL-6 level
blood samples assessed by ELISA
Time frame: up to 6 hours
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