Using Ultrasound in Infraclavicular in Upper Limb Surgeries

NCT05240729 | Completed

• 1 other identifier: 53:2021
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Comparison of 3 approach of infraclavicular brachial plexus

Conditions

Upper Limb Surgeries

Outcome Measures

Primary Outcomes (1)

• Motor and sensory block success rate

  Success rate 30 min after local anasthetic injections

  30 min

Study Arms (3)

Retroclavicular

ACTIVE COMPARATOR

Retroclavicular approach to the infraclavicular region, the probe will be placed below and perpendicular to the clavicle, in a paramedian sagittal plane, medial to the coracoid process, to obtain a short-axis view of the cords of the brachial plexus and the axillary vessels. The needle will then be inserted in the supraclavicular fossa, approximately 1 cm posteriorly to the clavicle, and advanced in plane and strictly parallel to the ultrasound transducer. After passing the initial blind zone of about 2 cm caused by the acoustic shadow of the clavicle, the needle tip will be constantly seen, until it will be positioned posterior to the axillary artery.

Procedure: Infraclavicular brachial plexus block

Costoclavicular

ACTIVE COMPARATOR

A new approach to the infraclavicular block The ultrasound transducer will be placed parallel and inferior to the clavicle and angled cephalad to optimize the ultrasound view. The block needle will be inserted in-plane from a lateral to medial direction into the costoclavicular space and the entire drug will be deposited in this location

Procedure: Infraclavicular brachial plexus block

Classic

ACTIVE COMPARATOR

Infraclavicular brachial plexus block (ICPB) ultrasound probe will be placed near the lower edge of the clavicle, and a transverse view of the subclavian artery and vein will be visualized. Using a needle guide, the needle will be advanced under real-time ultrasound guidance, and local anaesthetic will be injected near the subclavian artery, 15 mm medially and 15 mm laterally to the artery. The extent of sensory and motor block will be evaluated at 30 minutes after the injection

Procedure: Infraclavicular brachial plexus block

Interventions

Infraclavicular brachial plexus block PROCEDURE

Using ultrasound in 3different techniques of infraclavicular brachial plexus block

Classic; Costoclavicular; Retroclavicular

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• age: between 18 and 60 years ASA I and II BMI between 18 and 35 surgeries to forearm and hand

You may not qualify if:

• patient refusal pregnancy allergy to local anaesthetics local infection neuropathy ,coagulopathy anatomical abnormality in clavicular region

Sponsors & Collaborators

• Minia University: lead

Study Sites (1)

Facutly of Medicine

Minya, 61111, Egypt

Location

Study Officials

• Jozef zekry, MD

  Minia University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Study Record Dates

• First Submitted: February 6, 2022
• First Posted: February 15, 2022
• Study Start: May 24, 2021
• Primary Completion: February 24, 2022
• Study Completion: June 24, 2022
• Last Updated: January 10, 2023

Record last verified: 2023-01

Locations

EG (1)