Comparative Evaluation of 2 approaches of infraclavicular nerve block using ultrasound, for surgeries of the upper limb.

Phase 1

Not yet recruiting

Conditions: Medical and Surgical,

Registration Number: CTRI/2023/07/055564

Lead Sponsor: Maulana Azad Medical College and associated hospitals

Brief Summary: Infraclavicular brachial plexus block provides anaesthesia for elbow, forearm and hand surgery. We will be comparing 2 approaches for this block - Lateral Sagittal and Costoclavicular. In the lateral sagittal infraclavicular brachial plexus block, the local anaesthetic is injected deep to the pectoral muscles and close to the second part of the axillary artery. The costoclavicular brachial plexus block (CCB) is given in the costoclavicular space (CCS),which is an anatomical space lying behind and deep to the midpoint of the clavicle and between the subclavius and serratus anterior muscle overlying the second rib. The primary objective of the study is to evaluate the two groups with respect to the time required for readiness to surgery after administration of block. The secondary objectives include time taken to perform the block, success of catheter placement, intraoperative haemodynamic parameters, time to first rescue analgesia, the total amount of rescue analgesic given in first 24 hours and the complications, if any.

Detailed Description: Not available

Recruitment & Eligibility

Status: Not Yet Recruiting

Sex: All

Target Recruitment: 42

Inclusion Criteria

Adults 18 -65 years old, American Society of Anaesthesiology (ASA) physical health status I-III, who are posted for forearm, elbow and hand surgery under infraclavicular brachial plexus block.

Exclusion Criteria

1.Contraindications to nerve blocks like coagulopathies and local site pathology 2.History of brachial plexus injury 3.Inability to understand Verbal Rating ScaleÂ (VRS) 4.Any allergy to study medications 5.Patient refusal.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To evaluate & compare the time required for readiness to surgery after	12 months
administration of infraclavicular brachial plexus block using the Costoclavicular & Lateral	12 months
Sagittal approach. Time for readiness to surgery is defined as the time it takes to achieve a	12 months
sensory score of 30 or less(VRS) & motor grade of 1 or less in all the 4 nerves tested.	12 months

Secondary Outcome Measures

Name	Time	Method
The time taken to perform the block.	12 months
The success of catheter placement.	12 months
The haemodynamic parameters intraoperatively.	12 months
The time to first rescue analgesia.	12 months
Total amount of rescue analgesic given in first 24 hours.	12 months

Trial Locations

Locations (1): Lok Nayak Hospital
🇮🇳
Central, DELHI, India
Lok Nayak Hospital
🇮🇳Central, DELHI, India
Mayank Bharti
Principal investigator
9953221174
mayankbharti500@gmail.com