Medial Versus Lateral Approach in Ultrasound (US)-Guided Supraclavicular Block
Medial vs. Lateral Approach to Ultrasound-Guided Supraclavicular Block: A Prospective Randomized Controlled Trial
Medial vs. Lateral Approach to Ultrasound-Guided Supraclavicular Block: A Prospective Randomized Controlled Trial
Sponsor study identifier
interventional
78
1 country
1
Study Start
August 2009
Date type not reportedThis date has not been verified as actual or estimated.
Primary Completion
August 2010
Actual (reported)Study Completion
September 2010
Actual (reported)The ultrasound guided supraclavicular block is a peripheral nerve block which is considered safe, has a fast onset, is dense and provides complete block of the nerves supplying the hand, forearm and arm. However retrospective studies done at Toronto Western Hospital have highlighted the fact that most commonly the ulnar nerve fibres (responsible for sensations in the ring finger, little finger and the corresponding part of hand), sometimes escape this block and need additional supplementary block at a distal peripheral nerve site. It is a confusing fact since all nerve fibres are compactly arranged in a sheath at the supraclavicular level. The local anaesthetic agent at this level should be equally distributed among all nerve fibres. The purpose of this study is to compare two different approaches (medial and lateral) adopted by our clinicians to perform this block and to test the effectiveness of each approach for successful ulnar nerve fibre blockade.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
September 2010
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
August 2009
Date type not reportedThis date has not been verified as actual or estimated.
October 8, 2009
Actual (reported)October 9, 2009
Actual (reported)August 2010
Actual (reported)September 2010
Actual (reported)Successful block of the Ulnar nerve (C8,T1) fibres. Sensory block with a score of '1' at 30 minutes (loss of sensation to pin prick) is considered successful.
1 hour prior to surgery
Needle approach to the brachial plexus nerves will be made using a lateral-to-medial direction.
Needle approach to the brachial plexus nerves will be made using a lateral-to-medial direction.
Approach of the needle to administer the brachial plexus nerve block will be done in a lateral-to-medial direction.
Approach of the needle to administer the brachial plexus nerve block will be done in a medial-to-lateral direction.
Toronto Western Hospital
Toronto, Ontario, M5T 2S8, Canada
Richard Brull, MD
University Health Network, Toronto
78 participants (actual enrollment reported by the registry).
First Submitted
October 8, 2009
First Posted
October 9, 2009
Study Start
August 2009
Date type not reportedThis date has not been verified as actual or estimated.
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Primary Completion
August 2010
Actual (reported)Study Completion
September 2010
Actual (reported)Last Updated
December 4, 2017
Record last verified: 2010-01
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