Comparison of Costoclavicular Brachial Plexus Block and Supraclavicular Brachial Plexus Block

NCT ID: NCT03097159

Last Updated: 2018-07-03

Basic Information

• Recruitment Status: WITHDRAWN
• Study Classification: OBSERVATIONAL
• Study Start Date: 2017-05-01
• Study Completion Date: 2018-03-31

Brief Summary

The investigator will compare Costoclavicular approach of infraclavicular block and supraclavicular block. Especially, the incidence of phrenic nerve palsy and the quality of block.

Detailed Description

Costoclavicular brachial plexus block is a recently developed approach of infraclavicular brachial plexus block. Using ultrasound, all of 3 cords are well visible in single plane. Compared to conventional infraclavicular block, it needs smaller amount of local anesthetics.

Supraclavicular brachial plexus block is known as spinal anesthesia of upper extremities. It provides fast and good quality of anesthesia and analgesia. But some studies showed that there are over 50% of phrenic nerve palsy in supraclavicular block.

In this study, the investigator will compare phrenic nerve palsy incidence and block quality between Costoclavicular block and supraclavicular block using ultrasound.

Conditions

Phrenic Nerve Paralysis

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: PROSPECTIVE

Study Groups

Costoclavicular block

For anesthesia, this group of patients will be received ultrasound guided costoclavicular block

Costoclavicular block

Intervention Type: PROCEDURE

Group C for costoclavicular block Group S for supraclavicular block

Supraclavicular block

For anesthesia, this group of patients will be received ultrasound guided supraclavicular block

No interventions assigned to this group

Interventions

Costoclavicular block

Group C for costoclavicular block Group S for supraclavicular block

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• ASA I or II
• Scheduled for surgery of hand or forearm

Exclusion Criteria

• Patient refusal
• Neuromuscular disease
• Pregnancy
• Previous history of surgery of periclavicular region
• Nerve injury history
• Bleeding tendency
• Allergy to local anesthetics
• Other contraindication of regional anesthesia

• Minimum Eligible Age: 19 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ajou University School of Medicine

OTHER

Sponsor Role: lead

Responsible Party

In-kyong Yi

Clinical assistant professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

In Kyong Yi, MD

Role: STUDY_DIRECTOR

Ajou University School of Medicine

Locations

Ajou university school of medicine

Suwon, Gyeonggi-do, South Korea

Countries

South Korea

Other Identifiers

106421

Identifier Type: -

Identifier Source: org_study_id