Continuous Blockade of the Brachial Plexus
Is There a Difference Between Posterior Approach Ultrasound-guided Continuous Interscalene Block (Upper Trunk Block) and Stimulator Guided Continuous Cervical Paravertebral Block (C6 Root Block)?
1 other identifier
observational
53
1 country
2
Brief Summary
This study will answer the question whether there is a difference in the effects and complication rates of ultrasound guided continuous interscalene block (CISB) and nerve stimulation-guided continuous cervical paravertebral block (CCPVB). The aim of this study is to evaluate the differences in efficacy and side effects - if any.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Sep 2016
Typical duration for all trials
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 9, 2016
CompletedFirst Posted
Study publicly available on registry
May 11, 2016
CompletedStudy Start
First participant enrolled
September 19, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 6, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
September 26, 2018
CompletedJuly 25, 2019
July 1, 2019
1.7 years
May 9, 2016
July 23, 2019
Conditions
Outcome Measures
Primary Outcomes (1)
Changes between the two groups assessed by sensory testing
Sensory abnormalities will be assessed by sensation of cold and dermatomes sensation.
Change from baseline up to 7 days (end of catheter placement)
Secondary Outcomes (5)
Changes between the two groups assessed by motor strength
Change from baseline up to 7 days (end of catheter placement)
Changes between the two groups assessed by shoulder pain
Change from baseline up to 7 days (end of catheter placement)
Changes between the two groups assessed by Phrenic nerve function
Change from baseline up to 7 days (end of catheter placement)
Changes between the two groups assessed by recurrent laryngeal nerve (RLN) function
Change from baseline up to 7 days (end of catheter placement)
Changes between the two groups assessed by development of ipsilateral Horner's syndrome
Change from baseline up to 7 days (end of catheter placement)
Study Arms (2)
ultrasound-guided CISB
Group 1 will receive ultrasound-guided CISB with the catheter placed on the upper trunk of the brachial plexus
nerve stimulator-guided CCPVB
Group 2 will receive landmark with nerve stimulator based needle placement and then nerve stimulator-guided CCPVB with the catheter placed on the 6th cervical spinal root
Interventions
This group will receive ultrasound-guided CISB with the catheter placed on the upper trunk of the brachial plexus
This group will receive landmark with nerve stimulator based needle placement and then nerve stimulator-guided CCPVB with the catheter placed on the 6th cervical spinal root
Eligibility Criteria
Patients who are are scheduled for shoulder arthroplasty or rotator cuff repair surgery at an area hospital
You may qualify if:
- are between the ages of 18 and 80 years
- have an ASA Health Classification of I, II, or III
- are scheduled for shoulder arthroplasty or rotator cuff repair surgery
You may not qualify if:
- Patient refusal to participate in the study or sign informed consent
- Patients with contraindications to any of the two blocks or allergy to any of the drugs used
- Patients with shoulder surgery that developed into any other surgery other than total shoulder arthroplasty or rotator cuff repair
- Patients with a BMI \>40
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Floridalead
- I. Heermann Anesthesia Foundationcollaborator
Study Sites (2)
Florida Surgical Center
Gainesville, Florida, 32607, United States
UF Health
Gainesville, Florida, 32610-3003, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Yury Zasimovich
University of Florida
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 9, 2016
First Posted
May 11, 2016
Study Start
September 19, 2016
Primary Completion
June 6, 2018
Study Completion
September 26, 2018
Last Updated
July 25, 2019
Record last verified: 2019-07
Data Sharing
- IPD Sharing
- Will not share