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For forearm and hand surgeries an ultrasound guided comparision between costoclavicular brachial plexus block with supraclavicular brachial plexus block.

Phase 4
Not yet recruiting
Conditions
Diseases of the musculoskeletal system and connective tissue,
Registration Number
CTRI/2023/09/057953
Lead Sponsor
Nandinibynaboina
Brief Summary

The costoclavicular brachial plexus block was recently described as an alternative approach to infraclavicular block.It targets the brachial plexus in the proximal infraclavicular fossa where the lateral ,medial,and posterior cords are tightly bundled together.The compact organization of the plexus at this level,clustered lateral to the artery provides a reliable sensory Motar block when local anaesthetics is deposited between the three cords of the brachial plexus.Costoclavicular space includes a triangular area wedged between the pectoralis major and the subclavius muscle anteriorly and anterior rib cage posteriorly,the goal of costoclavicular approach is to place the needle tip near the clustered cords which is relatively easier than in infraclavicular approach where it is variable and in deeper locations.

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
All
Target Recruitment
100
Inclusion Criteria

Patients posted for forearm and hand surgeries.

Exclusion Criteria
  • Patient refusal for consent Pre-existing neurological deficit or neuropathy affecting brachial plexus.
  • Bleeding disorders and allergy to local anaesthetics Pneumothorax Prior surgery on infra clavicular fossa.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Time of onset of block and duration of analgesiaDuring surgery & post operative day 1
Secondary Outcome Measures
NameTimeMethod
Success rate ,performance time,number of needle passes,incidence of adverse effects.During surgery & post operative day 1

Trial Locations

Locations (1)

Government general hospital

🇮🇳

Godavari, ANDHRA PRADESH, India

Government general hospital
🇮🇳Godavari, ANDHRA PRADESH, India
DrNandini bynaboina
Principal investigator
6301682351
nandinibynaboina1793@gmail.com

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