Superficial Cervical Plexus Block for IJCL Pain Management

NCT ID: NCT05252832

Last Updated: 2025-05-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-15

Study Completion Date

2024-12-31

Brief Summary

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This is a prospective randomized trial evaluating the effect of SCPB on reported patient pain following IJCL placement as compared to local infiltrate.

Detailed Description

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The goal of this study is to determine if SCPBs provide more pain control than local infiltrate of anesthetic for internal jugular venous cannulation. The investigators hypothesis that patients who receive the SCPB will have a lower VAS rating on average than those who receive local infiltration following internal jugular venous cannulation. To test this, the investigators will be approaching eligible patients for inclusion in a research study. If the patients consent, the patients will be randomly assigned the standard of care treatment or the SCPB. The investigators will then ask the patients to rate pain following insertion of the central line. The investigators will also evaluate different aspects of the patient's hospital course to evaluate their outcomes.

Conditions

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Superficial Cervical Plexus Block Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Participant blinded block randomization of the control local infitrate (Arm 1) and the experimental SCPB (Arm 2).
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants
Participants will be masked to the anesthesia route selected until after they report their pain scale report. Care provider cannot be blinded in order to complete.

Study Groups

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Local Infitrate

Group Type ACTIVE_COMPARATOR

Local Infiltrate

Intervention Type PROCEDURE

Local infiltration location.

SCPB

Group Type EXPERIMENTAL

Superficial Cervical Plexus Block

Intervention Type PROCEDURE

Location of injection for block.

Interventions

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Superficial Cervical Plexus Block

Location of injection for block.

Intervention Type PROCEDURE

Local Infiltrate

Local infiltration location.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients who are 18 years and older, and;
* Present to the Akron General Emergency Department (Main) between March 1, 2021 and December 1, 2022, and;
* Require IJVC as a part of their clinical care.

Exclusion Criteria

* Patients who are intubated; or
* Patients who undergo CPR; or
* Patients who have an allergy to lidocaine or bupivacaine; or
* Patients who have a contraindication to receiving a superficial cervical plexus block such as cellulitis over Erb's point or the internal jugular vein, abnormal anatomy, or prior surgery to the area.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cleveland Clinic Akron General

OTHER

Sponsor Role lead

Responsible Party

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Robert Stenberg

Principle Investigator, Ultrasound Director, Assistant Professor, Emergency Medicine Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Robert Stenberg, MD

Role: PRINCIPAL_INVESTIGATOR

Cleveland Clinic Akron General

Locations

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Cleveland Clinic Akron General

Akron, Ohio, United States

Site Status

Countries

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United States

Other Identifiers

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21003

Identifier Type: -

Identifier Source: org_study_id

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