The Comparation of Lateral Sagittal Infraclavicular and Costoclavicular Block

NCT04921852 | Unknown

• 1 other identifier: costoclavicular
• Study Type: interventional
• Target: 46
• Locations: 0 countries
• Sites: N/A

Brief Summary

In this study, the investigators aimed to compare the block dynamics and characteristics of the two approaches while providing effective analgesia and safe anesthesia of the Ultrasound-guided Lateral sagittal Infraclavicular and costoclavicular approach in Brachial plexus blocks.

Conditions

Upper Extremity Problem

Keywords

costoclavicular block; Lateral sagittal Infraclavicular block; brachial plexus block; block onset time

Outcome Measures

Primary Outcomes (1)

• readiness for surgery time

  Sensory block, defined as a loss of sensation to cold (ice), in the cutaneous distribution of the median (MN), radial (RN), ulnar (UN), and musculocutaneous (MCN) nerves will be assessed and graded according to a VRS (0-100, 100 = normal sensation and 0 = no sensation). Motor blockade of each of the 4 nerves in the ipsilateral upper extremity was also assessed and graded according to a 3-point qualitative scale (2 = normal motor power, 1 = paresis, and 0 = paralysis).Onset of sensory and motor blockade for each nerve was defined as the time (onset time) it took to achieve a sensory VRS of 30 or less and motor power grade of 1 or less, respectively.Time to readiness for surgery was defined as the time it took to achieve an overall sensory score of 30 or less and motor power grade of 1 or less, in all the 4 nerves tested.

  30 minute

Secondary Outcomes (1)

• block performance time

  5 minute

Study Arms (2)

costoclavicular group

ACTIVE COMPARATOR

Procedure: costoclavicular brachial plexus block

lateral sagittal group

ACTIVE COMPARATOR

Procedure: lateral sagittal infraclavicular block

Interventions

costoclavicular brachial plexus block PROCEDURE

A transverse scan with an portable USG machine with a high-frequency linear array transducer ((Logiq E, General Electric, ABD) will be performed immediately below the midpoint of the clavicle and over the medial infraclavicular fossa. 20 ml of a mixture of 0.25% bupivacaine, 1% lidocaine will be injected in to the middle of the three brachial plexus cords with an echogenic SonoTAP(Pajunk GmbH Medizintechnologie, Geisingen, Germany) block needle under USG guidance .Readiness for surgery time will be evaluated after costoclavicular block.

costoclavicular group

lateral sagittal infraclavicular block PROCEDURE

A sagittal scan with an portable USG machine with a high-frequency linear array transducer ((Logiq E, General Electric, ABD) will be performed medial to the coracoid process to obtain a transverse view of the axillary artery.20 ml of a mixture of 0.25% bupivacaine, 1% lidocaine will be injected posterior to the axillary artery near to the three cords of brachial plexus with an echogenic SonoTAP(Pajunk GmbH Medizintechnologie, Geisingen, Germany) block needle under USG guidance.Readiness for surgery time will be evaluated after lateral sagittal infraclavicular block.

lateral sagittal group

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• American Society of Anesthesiologists physical status 1 to 3
• age
• hand , wrist , forearm and elbow surgery

You may not qualify if:

• refusal to participate,
• pregnancy,
• body mass index of 30 kg/m2 or greater
• history of allergy to local anesthetic drugs
• prior surgery over the infraclavicular fossa,
• preexisting neurological deficit
• coagulopathy
• infection over infraclavicular fossa.

Sponsors & Collaborators

• Ankara City Hospital Bilkent: lead

Central Study Contacts

süleyman kaya

CONTACT

+905335805066; slymnk06@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: medical doctor

Study Record Dates

• First Submitted: May 30, 2021
• First Posted: June 10, 2021
• Study Start: June 7, 2021
• Primary Completion: September 7, 2021
• Study Completion: October 7, 2021
• Last Updated: June 10, 2021

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will not share