Periarterial Injection Versus Multiple Periveural Injection

NCT ID: NCT02429141

Last Updated: 2016-08-29

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 50 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-01-31
• Study Completion Date: 2016-06-30

Brief Summary

In the transarterial technique for axillary brachial plexus block, the axillary artery is intentionally punctured to indicate placement of the needle within the neurovascular sheath; local anesthetic is then injected deep and superficial to the axillary artery.

Detailed Description

To lessen the risk for hematoma and intravascular injection, several modifications, such as the multi-injection perineural technique, have become popular. These techniques require a high degree of technical skill and multiple needle passes, and also carry potential for injury. In this study, the investigators will compare an ultrasound-guided equivalent of the transarterial technique (periarterial injections) to a commonly used multi-injection perineural technique.

Conditions

Contusion Wrist or Hand; Crush Injury Wrist or Hand

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

US-guided periarterial techique

Axillary brachial plexus block by an ultrasound-guided periarterial technique

Group Type: EXPERIMENTAL

US-guided periarterial techique

Intervention Type: PROCEDURE

The needle will be inserted in the axillary fossa in-plane (cranial to caudal) close to the intersection of the pectoralis and biceps muscles. Two separate injections of local anesthetic will be made deep and superficial to the axillary artery

US-guided multi-injection technique

Ultrasound-guided multi-injection perineural technique for axillary brachial plexus

Group Type: EXPERIMENTAL

US-guided multi-injection technique

Intervention Type: PROCEDURE

The median, ulnar and radial nerves will be identified by ultrasound. Local anesthetic will be injected adjacent to each nerve

Interventions

US-guided periarterial techique

The needle will be inserted in the axillary fossa in-plane (cranial to caudal) close to the intersection of the pectoralis and biceps muscles. Two separate injections of local anesthetic will be made deep and superficial to the axillary artery

Intervention Type: PROCEDURE

US-guided multi-injection technique

The median, ulnar and radial nerves will be identified by ultrasound. Local anesthetic will be injected adjacent to each nerve

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Patients (ASA physical status I-III) scheduled to undergo hand or wrist surgery under axillary brachial plexus block

Exclusion Criteria

• Patients with pre-existing neuropathy
• Patients with allergy to local anesthetics
• Patients with prior surgery in the ipsilateral axilla
• Pregnant patients
• Patients with difficulties in communication

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 90 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

North American Institute for Continuing Medical Education (NAICE)

OTHER

Sponsor Role: lead

Responsible Party

Catherine Vanderpitt, MD

Catherine Vanderpitte, MD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Admir Hadzic, MD

Role: STUDY_DIRECTOR

Director

Locations

Department of Anesthesiology Ziekenhuis Oost-Limburg

Genk, , Belgium

Countries

Belgium

Other Identifiers

NAICE-001

Identifier Type: -

Identifier Source: org_study_id