The purpose of this study is to see if Exparel, used intraoperatively by injecting at the surgical site, followed by a Supraclavicular nerve block with bupivacaine in the recovery room, will provide better pain scores for patients at 24 and 48 hours post operatively than, 1)Bupivacaine Hydrochloride (HCL) injection at the surgical site, with a supraclavicular block in Post-anesthesia care unit(PACU), or 2)a supraclavicular block in PACU without any kind of injection at the surgical site.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Patients will receive 20 cc (266 mg) of Exparel injected in the distal radius area and a supraclavicular block in the recovery room.The supraclavicular blocks will be ultrasound guided and consist of 20 cc of Bupivacaine HCl 0.25% .Anesthesiologist performing the block will be instructed to surround the brachial plexus with the local anesthetic, taking special care to inject in the "corner pocket".
Patients will receive 20 cc of Bupivacaine 0.25% (50mg) in the distal radius area.In the recovery room the patient will be given the supraclavicular block which will be ultrasound guided and consisting of 20 cc of Bupivacaine HCl 0.25% .Anesthesiologist performing the block will be instructed to surround the brachial plexus with the local anesthetic, taking special care to inject in the "corner pocket".
Pain as measured by the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R)
The questionnaire consists of 13 questions.The first 11 is scored form 0-10(a higher number indicating a worse outcome).
Time frame: 24 hours post treatment
Pain as measured by the Revised American Pain Society Patient Outcome Questionnaire (APS-POQ-R)
The questionnaire consists of 13 questions.The first 11 is scored form 0-10(a higher number indicating a worse outcome).
Time frame: 48 hours post treatment
Number of patients who presented to Emergency room following surgery for pain control
Time frame: 24 hours post surgery
Number of patients who presented to Emergency room following surgery for pain control
Time frame: 48 hours post surgery
Number of over the counter(OTC) pain medications consumed by the patient
Time frame: 24 hours post surgery
Number of OTC pain medications consumed by the patient
Time frame: 48 hours post surgery
Number of prescription opioid medications consumed by the patient
Time frame: 24 hours post surgery
Number of prescription opioid medications consumed by the patient
Time frame: 48 hours post surgery
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
In the recovery room the patient will be given the supraclavicular block which will be ultrasound guided and consisting of 20 cc of Bupivacaine HCl 0.25% .Anesthesiologist performing the block will be instructed to surround the brachial plexus with the local anesthetic, taking special care to inject in the "corner pocket".