effect of different local anaesthetics on ultrasound guided regional block(costoclavicular) for upper limb surgery

Phase 4

Not yet recruiting

• Conditions: Fracture of forearm,

• Registration Number: CTRI/2024/01/061274
• Lead Sponsor: Jeyadharani K

Brief Summary

brachial plexus block provides anaesthesia  upper limb surgery ,out of which infraclavicular costoclavicular approach has become convenient & safe method to block all three cords at single site {because they share consistent relationship with each other at this space clustered together lateral to axillary artery ). onset time is one of the important consideration for choosing local anaesthetics , to hasten block onset higher concentrations of LA were used ,however diluted LA are safer .

ropivacaine has shown to have earlier onset than bupivacaine at  equipotent doses , but it is expensive .To hasten onset of bupivacaine lignocaine with adrenaline is added

there are no studies comparing the above mentioned drug onset time , hence we compare the onset time of bupivacaine and ropivacaine in ultrasound guided costoclavicular block for unilateral upper limb surgeries below mid arm level

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2023-12-27
• Study Start: 2024-01-13

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

ADULT PATIENT OF ASA PHYSICAL STATUS 1 & 2 OF ALL GENDERS , AGED BETWEEN 18-65 YEARS OF AGE POSTED FOR UPPER LIMB SURGERIES BELOW MID ARM LEVEL.

Exclusion Criteria

PATIENT REFUSAL PATIENT WITH KNOWN HYPERSENSITIVITY OR CONTRAINDICATIONS TO TGHE STUDY DRUGS LOCAL INFECTION AT THE SITE OF BLOCK PATIENTS WITH ADVANCED RENAL , CARDIAC ,HEPATIC & RESPIRATORY DISEASES PATIENTS WITH SEVERE COAGULOPATHY & ON ANTIPLATELET DRUGS PREGNANT PATIENTS PATIENTS WITH NEUROLOGICAL DEFICITS ,PSYCHIATRIC ILLNESS,NEUROVASCULAR DISORDERS & SUBSTANCE ABUSE PATIENTS WITH BMI>30 PARTIAL & FAILED BLOCKS WILL BE EXCLUDED FROM THE STUDY.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare the onset time with respect to sensory and motor onset . with composite score of 14/16	0,5 ,10, 15 ,20,25 & 30 minutes after block needle removal .

Secondary Outcome Measures

Name	Time	Method
To compare duration of motor block	Verbal numerical rating score [VNRS]

Trial Locations

Locations (1)

sri muthukumaran medical college hospital and research institute; 🇮🇳 Kancheepuram, TAMIL NADU, India

sri muthukumaran medical college hospital and research institute

🇮🇳Kancheepuram, TAMIL NADU, India

jeyadharani

Principal investigator

8778639163

jeyadharanikrishnan@gmail.com