Comparison of 2 different blocks in upper limb surgeries below elbow.

Not yet recruiting

• Conditions: Other disorders of continuity of bone, (2) ICD-10 Condition: M958||Other specified acquired deformities of musculoskeletal system. Ayurveda Condition: Not applicable,

• Registration Number: CTRI/2021/03/032212
• Lead Sponsor: Dept of Anaesthesia

Brief Summary

Brachial plexus block is an effective technique for upper extremity surgeries. This block can be executed using a variety of approaches. Here we are comparing 2 different approaches for Infraclavicular block (1-paracoracoid 2-costoclavicular) mainly for upper limb surgeries distal to elbow.

In the conventional Para Coracoid approach,the needle is placed in the lateral Infraclavicular fossa where the cords are in close proximity to the axillary artery, hence there will be high chance of  vascular breech in case of  Para coracoid approach.³ .And this technique is also technically challenging in patients with increased Body mass index. In this study we are comparing Paracoracoid versus costoclavicular infraclavicular block in terms of onset, duration and incidence of Hemidiaphragmatic paralysis in both the studies.

Primary objective: To compare the onset and duration of blocks  in the costoclavicular and paracoracoid approaches of Infraclavicular block.

Secondary objective:To assess the incidence of Hemidiaphragmatic paralysis between costoclavicular and paracoracoid approaches of  Infraclavicular block.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2021-03-22
• Study Start: 2021-03-25

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• ASA physical status I and II 2.
• Age between 18 to 80 years.
• Body mass index of <30 kg /m2 4.
• Patients undergoing upper limb surgeries, distal to elbow.

Exclusion Criteria

• Patient refusal to give consent.
• Coagulopathy 4.
• Hepatic or renal failure 5.
• Prior surgery in the Infraclavicular fossa 6.
• Patients allergic to local anaesthetics.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Costoclavicular may be superior to Paracoracoid block	24 hours

Secondary Outcome Measures

Name	Time	Method
There might be lesser incidence of hemidiaphgramatic paralysis in case of costoclavicular block	24 hours

Trial Locations

Locations (1)

S N Medical college and HSK Hospital; 🇮🇳 Bagalkot, KARNATAKA, India

S N Medical college and HSK Hospital

🇮🇳Bagalkot, KARNATAKA, India

Dr Ramesh Koppal

Principal investigator

9845504515

rameshkoppaldr@gmail.com