NCT02990702

Brief Summary

The retroclavicular approach for brachial plexus anesthesia requires an optimal angle between the needle and the ultrasound beam. Retroclavicular approach has already been proven effective and safe in the past. The general objective is to provide a formal comparison between the retroclavicular approach and coracoid infraclavicular approach for brachial plexus anaesthesia. This study should represent the differences between the two techniques.

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
60

participants targeted

Target at P25-P50 for phase_4

Timeline
Completed

Started Jan 2017

Shorter than P25 for phase_4

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 9, 2016

Completed
4 days until next milestone

First Posted

Study publicly available on registry

December 13, 2016

Completed
19 days until next milestone

Study Start

First participant enrolled

January 1, 2017

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2017

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2017

Completed
Last Updated

December 13, 2016

Status Verified

December 1, 2016

Enrollment Period

4 months

First QC Date

December 9, 2016

Last Update Submit

December 12, 2016

Conditions

Keywords

Infraclavicular blockRetroclavicular blockUltrasound

Outcome Measures

Primary Outcomes (2)

  • Technique duration

    The performance time corresponds to the sum of imaging time and needling time. It is expressed in minutes. Analysis of the primary outcome: performance time will be analyzed with a non-inferiority test of the averages, with the objective of finding that the experimental retroclavicular approach is no longer to perform than the coracoid infraclavicular approach.

    Measured directly during the procedure with a chronometer.

  • Surgery completion under regional block

    Success rate is defined as the completion of the intended surgery under regional anaesthesia with retroclavicular block without the need for a rescue technique.

    Success is defined at end of surgery for which block was done, generally within 1 to 3 hours after block is performed

Secondary Outcomes (3)

  • Sensorial block progression

    Assessed 10, 20 and 30 minutes after block completion

  • Motor Block Progression

    Assessed 10, 20, 30 minutes after the block completion

  • Needle visualization

    Assessed one week after study completion

Study Arms (2)

Ultrasound guided retroclavicular block

ACTIVE COMPARATOR

Ultrasound guided retroclavicular block group patients (Group R) will receive 30 cc %0.5 Bupivacaine

Other: Ultrasound guided retroclavicular blockOther: Ultrasound guided coracoid infraclavicular blockDrug: BupivacaineDevice: Ultrasound

Ultrasound guided infraclavicular block

ACTIVE COMPARATOR

Ultrasound guided coracoid infraclavicular block group patients (Group C) will receive 30 cc %0.5 Bupivacaine

Other: Ultrasound guided retroclavicular blockOther: Ultrasound guided coracoid infraclavicular blockDrug: BupivacaineDevice: Ultrasound

Interventions

Ultrasound guided retroclavicular block for forearm or hand surgery

Also known as: Group R
Ultrasound guided infraclavicular blockUltrasound guided retroclavicular block

Ultrasound guided infraclavicular block for forearm or hand surgery

Also known as: Group C
Ultrasound guided infraclavicular blockUltrasound guided retroclavicular block
Ultrasound guided infraclavicular blockUltrasound guided retroclavicular block
Ultrasound guided infraclavicular blockUltrasound guided retroclavicular block

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years
  • BMI\>30
  • Forearm- Hand surgery

You may not qualify if:

  • \<18 years
  • Local infection
  • Coagulopaty

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Forearm InjuriesHand Injuries

Interventions

BupivacaineUltrasonography

Condition Hierarchy (Ancestors)

Arm InjuriesWounds and Injuries

Intervention Hierarchy (Ancestors)

AnilidesAmidesOrganic ChemicalsAniline CompoundsAminesDiagnostic ImagingDiagnostic Techniques and ProceduresDiagnosis

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
INVESTIGATOR, OUTCOMES ASSESSOR
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Proffesor

Study Record Dates

First Submitted

December 9, 2016

First Posted

December 13, 2016

Study Start

January 1, 2017

Primary Completion

May 1, 2017

Study Completion

July 1, 2017

Last Updated

December 13, 2016

Record last verified: 2016-12

Data Sharing

IPD Sharing
Will not share