Comparison of efficacy of ultrasound guided continuous Interscalence block vs continuous Costoclavicular Brachial Plexus Block for Humerus Fractures in obese patient. A single center randomized control trial.
Trial Snapshot
- Phase
- Phase 1
- Status
- Not yet recruiting
- Sponsor
- Enrollment
- 60
- Locations
- 1
Study Overview
Brief Summary
Multiple modes of anesthesia and analgesia, such as general anesthesia (GA), interscalene blocks (ISBs), various brachial plexus block approaches, and selective nerve blocks in combination with GA, have been effective for upper limb fracture surgery. Identifying the optimal regional anesthesia for these surgery is essential for improving postoperative recovery. Interscalene blocks are a standardized and reliable technique for anesthesia and postoperative analgesia during humerus fracture surgery and are many a times used as the sole means of anesthesia. [1]However, continuous ISBs are associated with a relatively high risk of hemidiaphragmatic paralysis (HDP) and are technically difficult in obese patients with short neck. Several other brachial plexus blocks approaches distal to the interscalene approach have been proposed such as the costoclavicular block (CCB) .[2,3]This study focuses to evaluate the efficiency of this costoclavicular approach of brachial plexus block in obese patients where giving continuous interscalene block can be challenging.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 65.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •ASA one, two , three , BMI more than equal to 25Kilogram per meter square having fracture of humerus scheduled for open reduction and internal fixation.
Exclusion Criteria
- •Refusal to participate, BMI less than 25 kiligram per meter square, pre-existing moderate-severe pulmonary disease (obstructive or restrictive), pre-existing neuropathy of the operative limb, coagulopathy, hepatic failure (Child-Turcotte-Pugh score more than 9) or renal failure (creatinine more than 2 milligram per decilitre or peritoneal di¬alysis or hemodialysis), infection at the puncture site, hypersensi¬tivity or allergy to LA, pregnancy, inability to communicate or cooperate and patients having chronic pain condition.
Investigators
Anupriya saxena
Government Institute of Medical Science