Using Ultrasound in Infraclavicular in Upper Limb Surgeries

NCT ID: NCT05240729

Last Updated: 2023-01-10

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-05-24
• Study Completion Date: 2022-06-24

Brief Summary

Comparison of 3 approach of infraclavicular brachial plexus

Detailed Description

Comparison of retroclavicular & costoclavicular and classic type of infraclavicular brachial plexus block for upper limb surgeries

Conditions

Upper Limb Surgeries

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

Retroclavicular

Retroclavicular approach to the infraclavicular region, the probe will be placed below and perpendicular to the clavicle, in a paramedian sagittal plane, medial to the coracoid process, to obtain a short-axis view of the cords of the brachial plexus and the axillary vessels. The needle will then be inserted in the supraclavicular fossa, approximately 1 cm posteriorly to the clavicle, and advanced in plane and strictly parallel to the ultrasound transducer. After passing the initial blind zone of about 2 cm caused by the acoustic shadow of the clavicle, the needle tip will be constantly seen, until it will be positioned posterior to the axillary artery.

Group Type: ACTIVE_COMPARATOR

Infraclavicular brachial plexus block

Intervention Type: PROCEDURE

Using ultrasound in 3different techniques of infraclavicular brachial plexus block

Costoclavicular

A new approach to the infraclavicular block The ultrasound transducer will be placed parallel and inferior to the clavicle and angled cephalad to optimize the ultrasound view. The block needle will be inserted in-plane from a lateral to medial direction into the costoclavicular space and the entire drug will be deposited in this location

Group Type: ACTIVE_COMPARATOR

Infraclavicular brachial plexus block

Intervention Type: PROCEDURE

Using ultrasound in 3different techniques of infraclavicular brachial plexus block

Classic

Infraclavicular brachial plexus block (ICPB) ultrasound probe will be placed near the lower edge of the clavicle, and a transverse view of the subclavian artery and vein will be visualized. Using a needle guide, the needle will be advanced under real-time ultrasound guidance, and local anaesthetic will be injected near the subclavian artery, 15 mm medially and 15 mm laterally to the artery. The extent of sensory and motor block will be evaluated at 30 minutes after the injection

Group Type: ACTIVE_COMPARATOR

Infraclavicular brachial plexus block

Intervention Type: PROCEDURE

Using ultrasound in 3different techniques of infraclavicular brachial plexus block

Interventions

Infraclavicular brachial plexus block

Using ultrasound in 3different techniques of infraclavicular brachial plexus block

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• age: between 18 and 60 years ASA I and II BMI between 18 and 35 surgeries to forearm and hand

Exclusion Criteria

• patient refusal pregnancy allergy to local anaesthetics local infection neuropathy ,coagulopathy anatomical abnormality in clavicular region

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

Sponsors

Minia University

OTHER

Sponsor Role: lead

Responsible Party

Rowayda Nabil gaber

MD

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Jozef zekry, MD

Role: STUDY_CHAIR

Minia University

Locations

Facutly of Medicine

Minya, , Egypt

Countries

Egypt

Other Identifiers

53:2021

Identifier Type: -

Identifier Source: org_study_id