Trial Outcomes & Findings for The Study of Regional Hemodynamic Changes After Specific Brachial Plexus Block by Ultrasound Guidance (NCT NCT02139982)

NCT ID: NCT02139982

Last Updated: 2014-08-01

Results Overview

These parameters included peak systolic velocity (PSV, cm/s), end-diastolic velocity (EDV, cm/s), time average maximum velocity (TAMAX),and was measured by Pulsed-wave Doppler(PWD) ultrasound.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

110 participants

Primary outcome timeframe

baseline(t0), 30 min after specific nerve block(t1), 30 min after brachial plexus block(t2)

Results posted on

2014-08-01

Participant Flow

Participant milestones

Participant milestones
Measure
Group MC(Phase 1)
specific nerve block:musculocutaneous nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group UL( Phase 1)
specific nerve block:ulnar nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group RA (Phase 1)
specific nerve block:radial nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group ME (Phase 1)
specific nerve block:median nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group A(Phase 2)
30ml ropivacaine 0.125% ropivacaine: Different concentration of ropivacaine
Group B(Phase 2)
30ml ropivacaine 0.2% ropivacaine: Different concentration of ropivacaine
Group C(Phase 2)
30ml ropivacaine 0.25% ropivacaine: Different concentration of ropivacaine
Group D(Phase 2)
30ml ropivacaine 0.375% ropivacaine: Different concentration of ropivacaine
Group E(Phase 2)
30ml ropivacaine 0.5% ropivacaine: Different concentration of ropivacaine
Group F(Phase 2)
30ml ropivacaine 0.75% ropivacaine: Different concentration of ropivacaine
Overall Study
STARTED
8
8
8
8
13
13
13
13
13
13
Overall Study
COMPLETED
8
7
8
7
13
13
13
13
13
13
Overall Study
NOT COMPLETED
0
1
0
1
0
0
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Group MC(Phase 1)
specific nerve block:musculocutaneous nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group UL( Phase 1)
specific nerve block:ulnar nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group RA (Phase 1)
specific nerve block:radial nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group ME (Phase 1)
specific nerve block:median nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group A(Phase 2)
30ml ropivacaine 0.125% ropivacaine: Different concentration of ropivacaine
Group B(Phase 2)
30ml ropivacaine 0.2% ropivacaine: Different concentration of ropivacaine
Group C(Phase 2)
30ml ropivacaine 0.25% ropivacaine: Different concentration of ropivacaine
Group D(Phase 2)
30ml ropivacaine 0.375% ropivacaine: Different concentration of ropivacaine
Group E(Phase 2)
30ml ropivacaine 0.5% ropivacaine: Different concentration of ropivacaine
Group F(Phase 2)
30ml ropivacaine 0.75% ropivacaine: Different concentration of ropivacaine
Overall Study
Lack of Efficacy
0
1
0
1
0
0
0
0
0
0

Baseline Characteristics

The Study of Regional Hemodynamic Changes After Specific Brachial Plexus Block by Ultrasound Guidance

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group MC(Phase 1)
n=8 Participants
specific nerve block:musculocutaneous nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group UL( Phase 1)
n=8 Participants
specific nerve block:ulnar nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group RA (Phase 1)
n=8 Participants
specific nerve block:radial nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group ME (Phase 1)
n=8 Participants
specific nerve block:median nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group A(Phase 2)
n=13 Participants
30ml ropivacaine 0.125% ropivacaine: Different concentration of ropivacaine
Group B(Phase 2)
n=13 Participants
30ml ropivacaine 0.2% ropivacaine: Different concentration of ropivacaine
Group C(Phase 2)
n=13 Participants
30ml ropivacaine 0.25% ropivacaine: Different concentration of ropivacaine
Group D(Phase 2)
n=13 Participants
30ml ropivacaine 0.375% ropivacaine: Different concentration of ropivacaine
Group E(Phase 2)
n=13 Participants
30ml ropivacaine 0.5% ropivacaine: Different concentration of ropivacaine
Group F(Phase 2)
n=13 Participants
30ml ropivacaine 0.75% ropivacaine: Different concentration of ropivacaine
Total
n=110 Participants
Total of all reporting groups
Age, Continuous
41 years
STANDARD_DEVIATION 13 • n=5 Participants
31 years
STANDARD_DEVIATION 7 • n=7 Participants
42 years
STANDARD_DEVIATION 19 • n=5 Participants
38 years
STANDARD_DEVIATION 17 • n=4 Participants
31 years
STANDARD_DEVIATION 10 • n=21 Participants
36 years
STANDARD_DEVIATION 14 • n=8 Participants
41 years
STANDARD_DEVIATION 13 • n=8 Participants
34 years
STANDARD_DEVIATION 12 • n=24 Participants
42 years
STANDARD_DEVIATION 15 • n=42 Participants
46 years
STANDARD_DEVIATION 18 • n=42 Participants
39 years
STANDARD_DEVIATION 15 • n=42 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
3 Participants
n=7 Participants
4 Participants
n=5 Participants
3 Participants
n=4 Participants
8 Participants
n=21 Participants
5 Participants
n=8 Participants
6 Participants
n=8 Participants
5 Participants
n=24 Participants
3 Participants
n=42 Participants
4 Participants
n=42 Participants
44 Participants
n=42 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
5 Participants
n=7 Participants
4 Participants
n=5 Participants
5 Participants
n=4 Participants
5 Participants
n=21 Participants
8 Participants
n=8 Participants
7 Participants
n=8 Participants
8 Participants
n=24 Participants
10 Participants
n=42 Participants
9 Participants
n=42 Participants
66 Participants
n=42 Participants
Region of Enrollment
China
8 participants
n=5 Participants
8 participants
n=7 Participants
8 participants
n=5 Participants
8 participants
n=4 Participants
13 participants
n=21 Participants
13 participants
n=8 Participants
13 participants
n=8 Participants
13 participants
n=24 Participants
13 participants
n=42 Participants
13 participants
n=42 Participants
110 participants
n=42 Participants

PRIMARY outcome

Timeframe: baseline(t0), 30 min after specific nerve block(t1), 30 min after brachial plexus block(t2)

These parameters included peak systolic velocity (PSV, cm/s), end-diastolic velocity (EDV, cm/s), time average maximum velocity (TAMAX),and was measured by Pulsed-wave Doppler(PWD) ultrasound.

Outcome measures

Outcome measures
Measure
Group MC(Phase 1)
n=8 Participants
specific nerve block:musculocutaneous nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group UL( Phase 1)
n=7 Participants
specific nerve block:ulnar nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group RA (Phase 1)
n=8 Participants
specific nerve block:radial nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group ME (Phase 1)
n=7 Participants
specific nerve block:median nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group E(Phase 2)
30ml ropivacaine 0.5% ropivacaine: Different concentration of ropivacaine
Group F(Phase 2)
30ml ropivacaine 0.75% ropivacaine: Different concentration of ropivacaine
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
EDV of radial artery T1
3.6 cm/s
Standard Deviation 4.1
5.7 cm/s
Standard Deviation 3.3
9.3 cm/s
Standard Deviation 5.1
16.1 cm/s
Standard Deviation 5.3
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
EDV of radial artery T2
19.4 cm/s
Standard Deviation 3.7
20.4 cm/s
Standard Deviation 6.1
21.1 cm/s
Standard Deviation 8.0
18.0 cm/s
Standard Deviation 4.1
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
TAMAX of radial artery T0
10.2 cm/s
Standard Deviation 6.6
11.4 cm/s
Standard Deviation 4.2
13.1 cm/s
Standard Deviation 4.8
11.5 cm/s
Standard Deviation 7.0
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
PSV of radial artery T0
40.9 cm/s
Standard Deviation 12.2
39.6 cm/s
Standard Deviation 7.6
47.6 cm/s
Standard Deviation 18.6
42.6 cm/s
Standard Deviation 10.9
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
PSV of radial artery T1
40.7 cm/s
Standard Deviation 13.1
40.9 cm/s
Standard Deviation 9.4
50.5 cm/s
Standard Deviation 21.5
52.4 cm/s
Standard Deviation 9.8
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
PSV of radial artery T2
58.0 cm/s
Standard Deviation 7.2
60.1 cm/s
Standard Deviation 16.2
69.6 cm/s
Standard Deviation 13.6
58.5 cm/s
Standard Deviation 6.6
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
EDV of radial artery T0
3.4 cm/s
Standard Deviation 4.3
5.8 cm/s
Standard Deviation 3.3
6.0 cm/s
Standard Deviation 2.1
5.5 cm/s
Standard Deviation 5.3
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
TAMAX of radial artery T1
10.4 cm/s
Standard Deviation 6.2
11.2 cm/s
Standard Deviation 4.6
18.4 cm/s
Standard Deviation 7.8
24.8 cm/s
Standard Deviation 9.4
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
TAMAX of radial artery T2
32.0 cm/s
Standard Deviation 7.1
31.0 cm/s
Standard Deviation 9.2
33.3 cm/s
Standard Deviation 9.7
29.7 cm/s
Standard Deviation 5.5
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
PSV of ulnar artery T0
42.5 cm/s
Standard Deviation 12.9
45.8 cm/s
Standard Deviation 12.5
51.1 cm/s
Standard Deviation 14.6
43.9 cm/s
Standard Deviation 13.5
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
PSV of ulnar artery T1
40.2 cm/s
Standard Deviation 11.6
60.5 cm/s
Standard Deviation 13.2
53.9 cm/s
Standard Deviation 15.8
45.1 cm/s
Standard Deviation 11.6
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
PSV of ulnar artery T2
56.9 cm/s
Standard Deviation 9.8
68.7 cm/s
Standard Deviation 17.4
68.4 cm/s
Standard Deviation 12.2
62.8 cm/s
Standard Deviation 11.1
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
EDV of ulnar artery T0
5.9 cm/s
Standard Deviation 3.3
7.9 cm/s
Standard Deviation 5.0
6.0 cm/s
Standard Deviation 2.6
5.3 cm/s
Standard Deviation 4.5
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
EDV of ulnar artery T1
5.1 cm/s
Standard Deviation 2.9
21.6 cm/s
Standard Deviation 9.3
6.2 cm/s
Standard Deviation 3.0
7.4 cm/s
Standard Deviation 6.9
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
EDV of ulnar artery T2
19.6 cm/s
Standard Deviation 7.9
26.9 cm/s
Standard Deviation 9.7
18.8 cm/s
Standard Deviation 7.4
20.2 cm/s
Standard Deviation 9.5
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
TAMAX of ulnar artery T0
11.2 cm/s
Standard Deviation 6.0
14.9 cm/s
Standard Deviation 7.3
14.0 cm/s
Standard Deviation 4.8
11.1 cm/s
Standard Deviation 6.5
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
TAMAX of ulnar artery T1
10.9 cm/s
Standard Deviation 4.8
29.9 cm/s
Standard Deviation 12.1
14.0 cm/s
Standard Deviation 5.2
11.9 cm/s
Standard Deviation 6.9
Changes in Hemodynamic Parameters of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
TAMAX of ulnar artery T2
27.8 cm/s
Standard Deviation 8.0
36.8 cm/s
Standard Deviation 14.2
30.5 cm/s
Standard Deviation 9.0
29.0 cm/s
Standard Deviation 9.8

PRIMARY outcome

Timeframe: baseline, 30 min after brachial plexus block

These parameters included peak systolic velocity (PSV, cm/s), end-diastolic velocity (EDV, cm/s), time average maximum velocity (TAMAX), resistance index (RI), and pulsatility index (PI),The cross-sectional area of the artery imaging.Blood flow (BF) = TAMAX× CSA×60s. Relative ratio of hemodymanic parameter=30 min after brachial plexus block divide by baseline

Outcome measures

Outcome measures
Measure
Group MC(Phase 1)
n=13 Participants
specific nerve block:musculocutaneous nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group UL( Phase 1)
n=13 Participants
specific nerve block:ulnar nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group RA (Phase 1)
n=13 Participants
specific nerve block:radial nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group ME (Phase 1)
n=13 Participants
specific nerve block:median nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group E(Phase 2)
n=13 Participants
30ml ropivacaine 0.5% ropivacaine: Different concentration of ropivacaine
Group F(Phase 2)
n=13 Participants
30ml ropivacaine 0.75% ropivacaine: Different concentration of ropivacaine
Changes in Hemodynamic Parameters of Brachial Artery From Baseline to 30min After Brachial Plexus Block(Phase 2)
relative ratio of PSV
1.031371 ratio
Interval 0.964707 to 1.140595
1.15 ratio
Interval 1.02 to 1.24
1.19 ratio
Interval 1.05 to 1.24
1.19 ratio
Interval 1.13 to 1.29
1.29 ratio
Interval 1.14 to 1.49
1.43 ratio
Interval 1.3 to 1.47
Changes in Hemodynamic Parameters of Brachial Artery From Baseline to 30min After Brachial Plexus Block(Phase 2)
Relative ratio of TAMAX
1.21 ratio
Interval 1.13 to 1.49
1.56 ratio
Interval 1.5 to 1.84
1.84 ratio
Interval 1.67 to 1.99
2.09 ratio
Interval 1.9 to 2.28
2.34 ratio
Interval 2.3 to 2.57
2.57 ratio
Interval 2.36 to 2.93
Changes in Hemodynamic Parameters of Brachial Artery From Baseline to 30min After Brachial Plexus Block(Phase 2)
Relative ratio of BF
1.40 ratio
Interval 1.32 to 1.58
1.87 ratio
Interval 1.69 to 2.1
2.10 ratio
Interval 1.9 to 2.36
2.54 ratio
Interval 2.29 to 2.81
3.18 ratio
Interval 3.0 to 3.35
3.53 ratio
Interval 3.28 to 3.67
Changes in Hemodynamic Parameters of Brachial Artery From Baseline to 30min After Brachial Plexus Block(Phase 2)
Relative ratio of PI
0.75 ratio
Interval 0.68 to 0.8
0.61 ratio
Interval 0.56 to 0.72
0.53 ratio
Interval 0.45 to 0.57
0.47 ratio
Interval 0.44 to 0.57
0.44 ratio
Interval 0.36 to 0.5
0.43 ratio
Interval 0.37 to 0.49
Changes in Hemodynamic Parameters of Brachial Artery From Baseline to 30min After Brachial Plexus Block(Phase 2)
Relative ratio of RI
0.91 ratio
Interval 0.9 to 0.93
0.87 ratio
Interval 0.87 to 0.92
0.85 ratio
Interval 0.79 to 0.87
0.84 ratio
Interval 0.8 to 0.86
0.81 ratio
Interval 0.77 to 0.86
0.82 ratio
Interval 0.76 to 0.89

PRIMARY outcome

Timeframe: baseline(t0), 30 min after specific nerve block(t1), 30 min after brachial plexus block(t2)

The cross-sectional area(CSA, cm2) of Radial/ulnar Artery was assessed with B-mode imaging. Probe was kept perpendicular to the long axis of the artery to obtain the largest oval arterial section. The image at end diastole was chosen and measured with the cine loop.

Outcome measures

Outcome measures
Measure
Group MC(Phase 1)
n=8 Participants
specific nerve block:musculocutaneous nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group UL( Phase 1)
n=7 Participants
specific nerve block:ulnar nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group RA (Phase 1)
n=8 Participants
specific nerve block:radial nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group ME (Phase 1)
n=7 Participants
specific nerve block:median nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group E(Phase 2)
30ml ropivacaine 0.5% ropivacaine: Different concentration of ropivacaine
Group F(Phase 2)
30ml ropivacaine 0.75% ropivacaine: Different concentration of ropivacaine
Changes in Cross-sectional Area of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
CAS of ulnar artery T0
0.039 cm^2
Standard Deviation 0.019
0.039 cm^2
Standard Deviation 0.011
0.043 cm^2
Standard Deviation 0.014
0.050 cm^2
Standard Deviation 0.013
Changes in Cross-sectional Area of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
CSA of radial artery T0
0.051 cm^2
Standard Deviation 0.008
0.051 cm^2
Standard Deviation 0.009
0.040 cm^2
Standard Deviation 0.015
0.051 cm^2
Standard Deviation 0.012
Changes in Cross-sectional Area of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
CSA of radial artery T1
0.053 cm^2
Standard Deviation 0.005
0.053 cm^2
Standard Deviation 0.005
0.044 cm^2
Standard Deviation 0.018
0.069 cm^2
Standard Deviation 0.013
Changes in Cross-sectional Area of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
CSA of radial artery T2
0.073 cm^2
Standard Deviation 0.014
0.074 cm^2
Standard Deviation 0.014
0.061 cm^2
Standard Deviation 0.014
0.073 cm^2
Standard Deviation 0.014
Changes in Cross-sectional Area of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
CAS of ulnar artery T1
0.039 cm^2
Standard Deviation 0.018
0.059 cm^2
Standard Deviation 0.016
0.044 cm^2
Standard Deviation 0.011
0.056 cm^2
Standard Deviation 0.014
Changes in Cross-sectional Area of Radial/Ulnar Artery From Baseline to 30min After Specific Nerve Block Followed by 30min After Brachial Plexus Block(Phase 1)
CAS of ulnar artery T2
0.061 cm^2
Standard Deviation 0.022
0.061 cm^2
Standard Deviation 0.015
0.068 cm^2
Standard Deviation 0.013
0.069 cm^2
Standard Deviation 0.018

SECONDARY outcome

Timeframe: baseline, 30 min after specific nerve block, 30 min after brachial plexus block

Skin temperature(Ts) was measured at four different points within the cutaneous innervation areas of the musculocutaneous(lateral skin of forearm), ulnar(hypothenar region), radial (thumb-index web) and median(thenar) Specific points were located with skin marker to provide consistency of measurement.

Outcome measures

Outcome measures
Measure
Group MC(Phase 1)
n=8 Participants
specific nerve block:musculocutaneous nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group UL( Phase 1)
n=7 Participants
specific nerve block:ulnar nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group RA (Phase 1)
n=8 Participants
specific nerve block:radial nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group ME (Phase 1)
n=7 Participants
specific nerve block:median nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group E(Phase 2)
30ml ropivacaine 0.5% ropivacaine: Different concentration of ropivacaine
Group F(Phase 2)
30ml ropivacaine 0.75% ropivacaine: Different concentration of ropivacaine
Changes in Skin Temperature From Baseline to 30 Min After Specific Nerve Block Followed by 30 Min After Brachial Plexus Block(Phase 1)
Ts MC t0
30.0 ℃
Standard Deviation 0.8
29.8 ℃
Standard Deviation 0.8
30.2 ℃
Standard Deviation 0.9
30.0 ℃
Standard Deviation 0.7
Changes in Skin Temperature From Baseline to 30 Min After Specific Nerve Block Followed by 30 Min After Brachial Plexus Block(Phase 1)
Ts MC t1
29.9 ℃
Standard Deviation 0.8
30.0 ℃
Standard Deviation 0.9
30.1 ℃
Standard Deviation 1.0
30.4 ℃
Standard Deviation 0.6
Changes in Skin Temperature From Baseline to 30 Min After Specific Nerve Block Followed by 30 Min After Brachial Plexus Block(Phase 1)
Ts MC t2
31.3 ℃
Standard Deviation 0.6
31.1 ℃
Standard Deviation 0.9
33.4 ℃
Standard Deviation 1.0
33.7 ℃
Standard Deviation 0.9
Changes in Skin Temperature From Baseline to 30 Min After Specific Nerve Block Followed by 30 Min After Brachial Plexus Block(Phase 1)
Ts UL t0
29.1 ℃
Standard Deviation 1.3
30.1 ℃
Standard Deviation 0.8
29.5 ℃
Standard Deviation 1.1
29.7 ℃
Standard Deviation 0.9
Changes in Skin Temperature From Baseline to 30 Min After Specific Nerve Block Followed by 30 Min After Brachial Plexus Block(Phase 1)
Ts UL t1
29.0 ℃
Standard Deviation 1.2
32.4 ℃
Standard Deviation 0.6
29.6 ℃
Standard Deviation 1.1
29.8 ℃
Standard Deviation 1.0
Changes in Skin Temperature From Baseline to 30 Min After Specific Nerve Block Followed by 30 Min After Brachial Plexus Block(Phase 1)
Ts UL t2
31.9 ℃
Standard Deviation 1.3
32.6 ℃
Standard Deviation 0.6
32.6 ℃
Standard Deviation 1.3
32.9 ℃
Standard Deviation 0.6
Changes in Skin Temperature From Baseline to 30 Min After Specific Nerve Block Followed by 30 Min After Brachial Plexus Block(Phase 1)
Ts RA t0
30.5 ℃
Standard Deviation 1.3
30.5 ℃
Standard Deviation 1.6
29.5 ℃
Standard Deviation 1.5
30.1 ℃
Standard Deviation 0.7
Changes in Skin Temperature From Baseline to 30 Min After Specific Nerve Block Followed by 30 Min After Brachial Plexus Block(Phase 1)
Ts RA t1
30.5 ℃
Standard Deviation 1.3
30.5 ℃
Standard Deviation 1.3
29.7 ℃
Standard Deviation 1.6
32.7 ℃
Standard Deviation 1.0
Changes in Skin Temperature From Baseline to 30 Min After Specific Nerve Block Followed by 30 Min After Brachial Plexus Block(Phase 1)
Ts RA t2
32.6 ℃
Standard Deviation 1.0
33.2 ℃
Standard Deviation 1.1
32.2 ℃
Standard Deviation 1.1
33.9 ℃
Standard Deviation 1.0
Changes in Skin Temperature From Baseline to 30 Min After Specific Nerve Block Followed by 30 Min After Brachial Plexus Block(Phase 1)
Ts ME t0
28.9 ℃
Standard Deviation 1.7
30.0 ℃
Standard Deviation 1.3
29.5 ℃
Standard Deviation 1.6
29.8 ℃
Standard Deviation 0.9
Changes in Skin Temperature From Baseline to 30 Min After Specific Nerve Block Followed by 30 Min After Brachial Plexus Block(Phase 1)
Ts ME t1
29.0 ℃
Standard Deviation 1.7
30.1 ℃
Standard Deviation 1.3
29.5 ℃
Standard Deviation 1.4
33.3 ℃
Standard Deviation 0.8
Changes in Skin Temperature From Baseline to 30 Min After Specific Nerve Block Followed by 30 Min After Brachial Plexus Block(Phase 1)
Ts ME t2
32.4 ℃
Standard Deviation 1.4
32.7 ℃
Standard Deviation 1.2
32.0 ℃
Standard Deviation 1.3
33.7 ℃
Standard Deviation 0.7

SECONDARY outcome

Timeframe: 30 min after brachial plexus block

Success of Brachial Plexus Block(BPB) was defined as the absence of sensation to in all innervation areas of above four nerves (musculocutaneous, ulnar, radial, and median nerves) 30min. after the BPB and no pain during the surgery.

Outcome measures

Outcome measures
Measure
Group MC(Phase 1)
n=13 Participants
specific nerve block:musculocutaneous nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group UL( Phase 1)
n=13 Participants
specific nerve block:ulnar nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group RA (Phase 1)
n=13 Participants
specific nerve block:radial nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group ME (Phase 1)
n=13 Participants
specific nerve block:median nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group E(Phase 2)
n=13 Participants
30ml ropivacaine 0.5% ropivacaine: Different concentration of ropivacaine
Group F(Phase 2)
n=13 Participants
30ml ropivacaine 0.75% ropivacaine: Different concentration of ropivacaine
Success of Brachial Plexus Block ( Phase 2)
1 participants
9 participants
11 participants
12 participants
13 participants
13 participants

SECONDARY outcome

Timeframe: Baseline,30 min after brachial plexus block

Skin temperature was measured at the thenar. change= 30min after brachial plexus block minus baseline

Outcome measures

Outcome measures
Measure
Group MC(Phase 1)
n=13 Participants
specific nerve block:musculocutaneous nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group UL( Phase 1)
n=13 Participants
specific nerve block:ulnar nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group RA (Phase 1)
n=13 Participants
specific nerve block:radial nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group ME (Phase 1)
n=13 Participants
specific nerve block:median nerve block specific nerve block: specific nerve blocks of the musculocutaneous, radial, ulnar, or median nerves at axillary region
Group E(Phase 2)
n=13 Participants
30ml ropivacaine 0.5% ropivacaine: Different concentration of ropivacaine
Group F(Phase 2)
n=13 Participants
30ml ropivacaine 0.75% ropivacaine: Different concentration of ropivacaine
Changes in Skin Temperature From Baseline to 30min After Brachial Plexus Block(Phase 2)
1.18 ℃
Standard Deviation 0.68
1.91 ℃
Standard Deviation 0.81
2.27 ℃
Standard Deviation 0.84
2.32 ℃
Standard Deviation 0.92
2.44 ℃
Standard Deviation 1.06
2.43 ℃
Standard Deviation 1.10

Adverse Events

Group MC(Phase 1)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group UL( Phase 1)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group RA (Phase 1)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group ME (Phase 1)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group A(Phase 2)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group B(Phase 2)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group C(Phase 2)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group D(Phase 2)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group E(Phase 2)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Group F(Phase 2)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Ting Li

The Second Affiliated Hospital & Yuying Children hospital of Wenzhou Medical University

Phone: 008613587876896

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place