Periarterial Injection Versus Multiple Periveural Injection

Not Applicable

Completed

• Conditions: Crush Injury Wrist or Hand; Contusion Wrist or Hand
• Interventions: Procedure: US-guided periarterial techique; Procedure: US-guided multi-injection technique

• Registration Number: NCT02429141
• Lead Sponsor: North American Institute for Continuing Medical Education (NAICE)

Brief Summary

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.

Detailed Description

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.

Study Timeline

• Study Start: 2015-01
• Study First Submitted: 2015-04-19
• Study First Submitted QC: 2015-04-28
• Study First Posted: 2015-04-29
• Primary Completion: 2016-01
• Study Completion: 2016-06
• Status Verified: 2016-08
• Last Update Submitted: 2016-08-26
• Last Update Posted: 2016-08-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
US-guided periarterial techique	US-guided periarterial techique	Axillary brachial plexus block by an ultrasound-guided periarterial technique
US-guided multi-injection technique	US-guided multi-injection technique	Ultrasound-guided multi-injection perineural technique for axillary brachial plexus

Primary Outcome Measures

Name	Time	Method
Block procedure time for the axillary brachial plexus block	time of the block achievement will be recorded up to 15 minutes

Secondary Outcome Measures

Name	Time	Method
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

Trial Locations

Locations (1)

Department of Anesthesiology Ziekenhuis Oost-Limburg; 🇧🇪 Genk, Belgium