Efficacy of Ultrasound Guided Superficial Cervical Plexus Block for Tracheal Reconstruction Surgery:

NCT ID: NCT04567992

Last Updated: 2022-02-14

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-11-01
• Study Completion Date: 2021-03-01

Brief Summary

The essential goal for tracheal reconstruction is is the ability of the anaesthesiologist and surgeon to maintain control of the airway at all times. In the postoperative period the patient should maintain a flexed neck position to avoid any traction on the tracheal anastomosis. Thus, pain control is essential postoperatively so that patients will be awake and cooperative to maintain this position. [1].

Superficial cervical plexus block can be used in a variety of surgical procedures , including superficial surgery on the neck and shoulders and thyroid surgery as it results in anesthesia of the skin of the anterolateral neck and the ante-auricular and retro-auricular areas, as well as the skin overlying and immediately inferior to the clavicle on the chest wall Figures 1 and 6)[2].

Thus it can be used as an adjuvant to general anaesthesia to provide analgesia for patients undergoing tracheal resection and anastomosis to keep the patients awake and cooperative at the conclusion of the procedure.

The goal of the ultrasound (US)-guided technique of SCB is to deposit local anesthetic within the vicinity of the sensory branches of the nerve roots C2, C3, and C4 which combine to form the four terminal branches (the lesser occipital, greater auricular, transverse cervical, and supraclavicular nerves) and emerge from behind the posterior border of the SCM. Advantages over the landmark-based technique include the ability to visualize the spread of local anesthetic in the correct plane, which therefore increases the success rate, and to avoid a needle insertion that is too deep and the inadvertent puncture of neighboring structures[3].

Aim of the work To assess the efficiency of using ultrasound-guided SCB for providing intra and postoperative analgesia for patients undergoing tracheal resection and anastomosis under general anaesthesia.

Conditions

Efficiency of Using Ultrasound-guided SCB for Providing Intra and Postoperative Analgesiatracheal Reconstruction Surgery

Study Design

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

Study Groups

SCPB

Group Type: EXPERIMENTAL

superficial cervical plexus block

Intervention Type: PROCEDURE

ultrasound guided injection of local anaesthesia in the superficial cervical plexus

Control

Group Type: PLACEBO_COMPARATOR

superficial cervical plexus block

Intervention Type: PROCEDURE

ultrasound guided injection of local anaesthesia in the superficial cervical plexus

Interventions

superficial cervical plexus block

ultrasound guided injection of local anaesthesia in the superficial cervical plexus

Intervention Type: PROCEDURE

Other Intervention Names

Drug: Bupivicaine

Eligibility Criteria

Inclusion Criteria

• ASA physical status I, II, and III adult patients undergoing elective tracheal resection and anastomosis under general anaesthesia were included.

Exclusion Criteria

• Coagulation disorders
• Pregnancy.
• Age less than 18 years.
• Patient refusal.
• Emergency re-operation within

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Kasr El Aini Hospital

OTHER

Sponsor Role: lead

Responsible Party

Ayman Abougabal

lecturer of anaesthesia, SICU and pain management

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Kasr alainy medical school

Cairo, , Egypt

Countries

Egypt

Other Identifiers

MS-106-2020

Identifier Type: -

Identifier Source: org_study_id