A clinical trial to study the effects of two types of needles to perform above clavicle nerve block for doing forearm and hand surgeries

Phase 4

Completed

Conditions: Fracture of lower end of humerus, Onset and efficacy of regional anaesthesia; supraclavicular nerve block,

Registration Number: CTRI/2011/07/001876

Lead Sponsor: Dr Vanita Ahuja

Brief Summary: Supraclavicular brachial plexus block is being routinely performed under ultrasound guidance for below elbow surgeries .It has many advantages as it allows the operator to visualize the needle and surrounding structures, minimizes the risk of contact with the pleural dome, and subclavian artery, decreaseprocedural times and increases block success .This study is a prospective ,randomized, double blind, single-centre trail to determine efficacy of supraclavicular brachial plexus block using blunt versus short bevel needle. A written informed consent from 60 patients American society of anesthesiologist (ASA) Iï¿½II,between 18 -60 years, of either sex, undergoing below elbow surgery will taken up for the clinical trial. The primary outcome measures will be efficacy of individual nerve blocks using blunt versus short bevel needle for supraclavicular block. The block effect will be assessed by an independent observer every 5 minutes in individual nerve territories both motor and sensory till the attainment of block or to a maximum of 60 minutes. Secondary outcome will be block performance time, procedure related pain, ideal block evaluation time, nerve block supplementation and early neurological sequel.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 60

Inclusion Criteria

American society of anesthesiologist (ASA) I–II below elbow surgeries.

Exclusion Criteria

patient refusal known neuropathy involving the arm undergoing surgery mental incapacity body mass index more than 35 kg/m2 known allergy to local anesthetics local infection coagulopathy fasting less than 8 hours any other contraindication to peripheral nerve blocks.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Primary aim of this study will be to determine the efficacy of individual nerve blocks using blunt versus short bevel needle under ultrasound guidance for placement of supraclavicular brachial block for below elbow surgeries. Assuming that establishment of sensory and motor block occurs in 30 minutes and show a difference of 5.0 minutes will be significant for successful surgical block.	02 years

Secondary Outcome Measures

Name	Time	Method
Block performance time, procedure related pain, ideal block evaluation time, nerve block supplementation and early neurological sequel	02 years

Trial Locations

Locations (1): Department of Anaesthesia and Intensive Care
🇮🇳
Chandigarh, CHANDIGARH, India
Department of Anaesthesia and Intensive Care
🇮🇳Chandigarh, CHANDIGARH, India
Dr Vanita Ahuja
Principal investigator
09646121649
vanitaanupam@yahoo.co.in