Comparison of the Block Characteristics of USG Guided Costoclavicular and Infraclavicular Block With the Perfusion Index

NCT ID: NCT04857216

Last Updated: 2021-09-01

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 90 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2021-03-14
• Study Completion Date: 2021-07-30

Brief Summary

With this study, it was aimed to compare the block characteristics evaluated with traditional methods in infraclavicular and costoclavicular block applications performed in upper extremity surgery in our clinic with the perfusion index

Detailed Description

Peripheral nerve block is to anesthetize the dermatomes belonging to the nerve or nerve group to which the block is applied, by performing sympathetic, sensory and motor blocks. Brachial plexus blockade; It is a peripheral nerve blockage that can be used in surgical operations to be performed on the upper extremity and can be performed at the level of interscalene, supraclavicular, infraclavicular, costoclavicular, axillary and terminal nerves.

The costoclavicular brachial plexus block has been used as an alternative to lateral sagittal infraclavicular block, due to its ease of application, its rapid onset of action and its high success rate. The effectiveness of the block is measured by sensory, motor and sympathetic block effects. The sensory block can be evaluated by cold or pinprick test, and motor block by traditional methods such as the patient's response to verbal commands and can be objective.

Sympathetic block manifests itself with vasodilation and an increase in blood flow rate and can be measured with the more quantitative perfusion index (PI). The perfusion index represents the ratio of pulsatile blood flow to static blood flow in peripheral tissue and can be measured continuously and noninvasively from a pulse oximeter. Successful peripheral nerve blockade; It is seen as local vasodilation, increased local blood flow, some increase in skin temperature and loss of sensation in the extremity due to the blockage of sympathetic fibers. It can be a guide in determining the effectiveness of the block because it is noninvasive and easy, providing rapid evaluation, without requiring patient cooperation to evaluate the success of the block.

Conditions

Costoclavicular and Infraclavicular Block for Patients Who Have Undergone Hand,Forearm and Arm Surgery

Study Design

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

Study Groups

Infraclavicular Group

Block Characteristics of Ultrasound Guided Infraclavicular Block with the Perfusion Index

Perfusion Index

Intervention Type: DEVICE

perfusion index in the prediction of peripheral block success was previously reported for infraclavicular brachial plexus block, axillary brachial plexus block, interscalene brachial plexus block, and supraclavicular brachial plexus in adult patients

Costoclavicular Group

Block Characteristics of Ultrasound Guided costoclavicular Block with the Perfusion Index

Perfusion Index

Intervention Type: DEVICE

perfusion index in the prediction of peripheral block success was previously reported for infraclavicular brachial plexus block, axillary brachial plexus block, interscalene brachial plexus block, and supraclavicular brachial plexus in adult patients

Interventions

Perfusion Index

perfusion index in the prediction of peripheral block success was previously reported for infraclavicular brachial plexus block, axillary brachial plexus block, interscalene brachial plexus block, and supraclavicular brachial plexus in adult patients

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• All costoclavicular and infraclavicular block patients who have undergone hand,forearm and arm surgery
• Patients over the age of 18

Exclusion Criteria

• Patients who do not want to participate in the study
• Patients whose peripheral block administration is contraindicated

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

Sponsors

Izmir Ataturk Training and Research Hospital

OTHER

Sponsor Role: lead

Responsible Party

Derya Arslan Yurtlu

Associate Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Busra Serce, MD

Role: STUDY_DIRECTOR

KCU Izmir Atatürk Training And Research Hospital

Derya Yurtlu, MD

Role: PRINCIPAL_INVESTIGATOR

KCU Izmir Atatürk Training And Research Hospital

Locations

Katip Celebi University Atatürk Training and Research Hospital

Izmir, , Turkey (Türkiye)

Katip Çelebi University İzmir Atatürk Training and Reseach Hospital

Izmir, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

IATRH

Identifier Type: -

Identifier Source: org_study_id