Parasagittal Vs Cornerpocket Approaches

NCT06352333 | Not Yet Recruiting

• 1 other identifier: Parasagittal Vs Cornerpocket
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Brachial plexus blocks are widely used to provide anesthesia for upper limb surgery. Although many different approaches to the brachial plexus block have been described, there is widespread acceptance that injecting at the supraclavicular level is the most reliable method in terms of spread of local anesthetic agent. Each approach of ultrasound guided supraclavicular brachial plexus block (US -SCBPB ) has a different success rate and complications. . A supraclavicular block can provide effective surgical anesthesia of the forearm and hand. The most commonly performed US- SCBPB is the corner pocket approach which was described by Chan et al with probe resting posterior to the clavicle, with postero latero-anteromedial orientation provides a very stable location, but has the disadvantage of "looking" across the first rib, with the apex of the lung visualized close to thePlexus . A new Parasagittal approach for brachial plexus block at the supraclavicular level was studied by Adrian Searle where the arc of the first rib was used to provide a deep limit to needle transit in order to minimize the risk of pneumothorax ;the aim of our study is to further evaluate the parasagittal approach for brachial plexus block and compare it with the popular corner pocket approach

Conditions

Supraclavicular Brachial Plexus Block

Keywords

brachial plexus block

Outcome Measures

Primary Outcomes (1)

• Needle visibility in both approaches

  Measure the visibility of the needles in the ultrasound

  1 year

Secondary Outcomes (1)

• Duration of sensory and motor block

  1 year

Other Outcomes (2)

• Success rate

  1 year

• Complications

  1 year

Study Arms (2)

group A

ACTIVE COMPARATOR

Cornerpocket supraclavicular ultrasound guided brachial plexus block

Procedure: supraclavicular ultrasound guided brachial plexus block

group B

ACTIVE COMPARATOR

Parasagital supraclavicular ultrasound guided brachial plexus block

Procedure: supraclavicular ultrasound guided brachial plexus block

Interventions

supraclavicular ultrasound guided brachial plexus block PROCEDURE

two approaches of ultrasound guided supraclavicular brachial plexus block in upper limb surgery : the cornerpocket supraclavicular brachial plexus block and parasagittal supraclavicular brachial plexus block

group A; group B

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• to 60 years old
• ASA grade I to II
• Elective upper limb surgery

You may not qualify if:

• Patient refusal.
• Patient with neurological deficit in the limb of surgery
• Patients with psychiatric disease.
• Coagulopathy.
• Morbid obesity.
• Known allergy to used local anathetics
• Local infection at the block site.

Sponsors & Collaborators

• Sohag University: lead

Study Sites (1)

Sohag university Hospital

Sohag, Egypt

Location

Related Publications (4)

• Choi S, McCartney CJ. Evidence Base for the Use of Ultrasound for Upper Extremity Blocks: 2014 Update. Reg Anesth Pain Med. 2016 Mar-Apr;41(2):242-50. doi: 10.1097/AAP.0000000000000155.

  PMID: 25376973 BACKGROUND

• Soares LG, Brull R, Lai J, Chan VW. Eight ball, corner pocket: the optimal needle position for ultrasound-guided supraclavicular block. Reg Anesth Pain Med. 2007 Jan-Feb;32(1):94-5. doi: 10.1016/j.rapm.2006.10.007. No abstract available.

  PMID: 17196502 BACKGROUND

• Chan VWS, Perlas A, Rawson R, Odukoya O. Ultrasound-guided supraclavicular brachial plexus block. Anesth Analg. 2003 Nov;97(5):1514-1517. doi: 10.1213/01.ANE.0000062519.61520.14.

  PMID: 14570677 BACKGROUND

• Duggan E, El Beheiry H, Perlas A, Lupu M, Nuica A, Chan VW, Brull R. Minimum effective volume of local anesthetic for ultrasound-guided supraclavicular brachial plexus block. Reg Anesth Pain Med. 2009 May-Jun;34(3):215-8. doi: 10.1097/AAP.0b013e31819a9542.

  PMID: 19587618 BACKGROUND

Central Study Contacts

Nada t Ahmed, resident

CONTACT

01069459544; nada_abdelrohman@yahoo.com

Wael A Mahmoud, assistant professor

CONTACT

01020363508

Study Design

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

Model Details: Inclusion criteria: * 18to60 yearsold * ASA grade I to II * Elective upper limb surgery

Study Record Dates

• First Submitted: April 2, 2024
• First Posted: April 8, 2024
• Study Start: April 2, 2024
• Primary Completion: November 1, 2024
• Study Completion: January 1, 2025
• Last Updated: April 8, 2024

Record last verified: 2024-04

Locations

EG (1)