Comparative Study of Two Infraclavicular Block Approaches in Forearm Surgery

NCT ID: NCT07269678

Last Updated: 2025-12-16

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

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-22

Study Completion Date

2025-09-20

Brief Summary

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It is hypothesized that retro clavicular Infraclavicular brachial plexus block is better than classical coracoid Infraclavicular brachial plexus block in patients undergoing forearm surgery

Detailed Description

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Conditions

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Procedure Time

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Study Groups

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Retroclavicular approch

Use of 25 ml 0.5% Ropivacaine via Retroclavicular Approach

Group Type OTHER

Retroclavicular infraclavicular brachial plexus block

Intervention Type PROCEDURE

The retro clavicular approach to the Infraclavicular brachial plexus block will be performed by placing probe parasagittally just medial to the coracoid process and caudal from the clavicle. The needle insertion point was located in the supraclavicular fossa, just medial to the shoulder at a point sufficiently posterior to the clavicle and medial to the trapezius muscle insertion point on the clavicle. The needle will be inserted immediately above the clavicle in the space between the coracoid process and the clavicle and advanced from cephalad to caudal.

Classic coracoid approch

Classic Coracoid Infraclavicular Block with 25 ml 0.5% Ropivacaine

Group Type OTHER

Classic coracoid infraclavicular brachial plexus block

Intervention Type PROCEDURE

The coracoid approach to the Infraclavicular brachial plexus block will be performed by placing the ultrasound probe parasagittally just medial to the coracoid process and caudal from the clavicle. The needle will be inserted cephalad to the ultrasound probe using an in-plane technique and advanced in a caudal direction toward the posterior aspect of the axillary artery, in the vicinity of the posterior cord of the brachial plexus.

Interventions

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Retroclavicular infraclavicular brachial plexus block

The retro clavicular approach to the Infraclavicular brachial plexus block will be performed by placing probe parasagittally just medial to the coracoid process and caudal from the clavicle. The needle insertion point was located in the supraclavicular fossa, just medial to the shoulder at a point sufficiently posterior to the clavicle and medial to the trapezius muscle insertion point on the clavicle. The needle will be inserted immediately above the clavicle in the space between the coracoid process and the clavicle and advanced from cephalad to caudal.

Intervention Type PROCEDURE

Classic coracoid infraclavicular brachial plexus block

The coracoid approach to the Infraclavicular brachial plexus block will be performed by placing the ultrasound probe parasagittally just medial to the coracoid process and caudal from the clavicle. The needle will be inserted cephalad to the ultrasound probe using an in-plane technique and advanced in a caudal direction toward the posterior aspect of the axillary artery, in the vicinity of the posterior cord of the brachial plexus.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Patients from 18-60 years.
2. Male Patients
3. Elective forearm surgery
4. BMI ≤30kg/m2
5. American Society of Anesthesiologist (ASA) Physical Status ≤III

Exclusion Criteria

1. History of known allergy or hypersensitivity against study drug.
2. Previous surgery on the same limb
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sargodha Medical College

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Dr Faisal Masood teaching Hospital Sargodha

Sargodha, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

Other Identifiers

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SMC-ANS-2025-001

Identifier Type: -

Identifier Source: org_study_id