A Double-blind Randomized Controlled Trial Between Ultrasound-guided Brachial Plexus and Distal Peripheral Nerve Blocks for Hand Surgery
Trial Snapshot
- Phase
- Phase 4
- Status
- Completed
- Sponsor
- University of New Mexico
- Enrollment
- 14
- Locations
- 1
- Primary Endpoint
- Grip Strength
Study Overview
Brief Summary
This is a double-blind prospective randomized control trial. The primary hypothesis is that the preservation of motor function is superior in distal forearm blocks compared to supraclavicular block. The secondary outcomes include patient satisfaction, surgeon's satisfaction, rate of block success, onset and duration of block.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •American Society of Anesthesiologists physical status I to III
- •Aged 18 and above
- •Able to provide own consent
- •Elective ambulatory surgery in the hand with an expected surgical time of less than 15 minutes that is normally performed with a peripheral nerve block covering the median and ulnar nerve distributions and intravenous sedation without general anesthesia
Exclusion Criteria
- •Surgery outside the median and ulnar nerve distribution in the hand 2) Bilateral surgery 3) body mass index of more than 45 kg/m2 (higher chance of failure) 4) neck or clavicle deformities 5) infection at the injection site 6) existing neurologic disease 7) insulin dependent diabetes 8) Diabetes with peripheral neuropathy or end organ damage 9) allergy to LA agents 10) coagulopathy 11) Past surgery on the same upper limb 12) Any other contraindication to supraclavicular block or forearm blocks 13) Contraindication to monitored anesthesia care with peripheral nerve block as the mode of anesthesia.
Arms & Interventions
Proximal Brachial Plexus block
15 mls of 1.5% Mepivacaine injected in the supraclavicular approach and 15 mls of saline injected in the distal forarm nerve blocks
Intervention: Proximal Brachial Plexus vs Distal Forearm Block (Procedure)
Distal Forearm block
15 mls 1.5% Mepivacaine injected in distal forearm nerve block and 15 mls of saline injected to the brachial plexus via the supraclavicular approach
Intervention: Proximal Brachial Plexus vs Distal Forearm Block (Procedure)
Outcomes
Primary Outcomes
Grip Strength
Time Frame: 6 months
Maximal Grip Strength x3 using dynanometer
Secondary Outcomes
- Patient Satisfaction(6 months)
Investigators
Nicholas Lam
Associate Professor
University of New Mexico