The Ultrasound Guided Periarterial Injection Technique To Axilary Brachial Plexus Block Versus Perineural Multiple InjectionTechnique
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Block procedure time for the axillary brachial plexus block
研究概览
简要总结
In the transarterial technique for axillary brachial plexus block, the axillary artery is intentionally punctured to indicate placement of the needle within the neurovascular sheath; local anesthetic is then injected deep and superficial to the axillary artery.
详细描述
To lessen the risk for hematoma and intravascular injection, several modifications, such as the multi-injection perineural technique, have become popular. These techniques require a high degree of technical skill and multiple needle passes, and also carry potential for injury. In this study, the investigators will compare an ultrasound-guided equivalent of the transarterial technique (periarterial injections) to a commonly used multi-injection perineural technique.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Inclusion criteria:
- •Patients (ASA physical status I-III) scheduled to undergo hand or wrist surgery under axillary brachial plexus block
排除标准
- •Patients with pre-existing neuropathy
- •Patients with allergy to local anesthetics
- •Patients with prior surgery in the ipsilateral axilla
- •Pregnant patients
- •Patients with difficulties in communication
结局指标
主要结局
Block procedure time for the axillary brachial plexus block
时间窗: time of the block achievement will be recorded up to 15 minutes
次要结局
- Onset of the block(outcome measure will be measured up to 30 minutes a)
- Time to request pain medication(participants will be followed for 3 days)
- Block success rate(participants success or block failure within 24 hours)
研究者
Catherine Vanderpitt, MD
Catherine Vanderpitte, MD
North American Institute for Continuing Medical Education (NAICE)