Using Ultrasound in Infraclavicular in Upper Limb Surgeries

Not Applicable

Completed

• Conditions: Upper Limb Surgeries
• Interventions: Procedure: Infraclavicular brachial plexus block

• Registration Number: NCT05240729
• Lead Sponsor: Minia University

Brief Summary

Comparison of 3 approach of infraclavicular brachial plexus

Detailed Description

Comparison of retroclavicular \& costoclavicular and classic type of infraclavicular brachial plexus block for upper limb surgeries

Study Timeline

• Study Start: 2021-05-24
• Study First Submitted: 2022-02-06
• Study First Submitted QC: 2022-02-06
• Study First Posted: 2022-02-15
• Primary Completion: 2022-02-24
• Study Completion: 2022-06-24
• Status Verified: 2023-01
• Last Update Submitted: 2023-01-08
• Last Update Posted: 2023-01-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• age: between 18 and 60 years ASA I and II BMI between 18 and 35 surgeries to forearm and hand

Exclusion Criteria

• patient refusal pregnancy allergy to local anaesthetics local infection neuropathy ,coagulopathy anatomical abnormality in clavicular region

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Classic	Infraclavicular brachial plexus block	Infraclavicular brachial plexus block (ICPB) ultrasound probe will be placed near the lower edge of the clavicle, and a transverse view of the subclavian artery and vein will be visualized. Using a needle guide, the needle will be advanced under real-time ultrasound guidance, and local anaesthetic will be injected near the subclavian artery, 15 mm medially and 15 mm laterally to the artery. The extent of sensory and motor block will be evaluated at 30 minutes after the injection
Costoclavicular	Infraclavicular brachial plexus block	A new approach to the infraclavicular block The ultrasound transducer will be placed parallel and inferior to the clavicle and angled cephalad to optimize the ultrasound view. The block needle will be inserted in-plane from a lateral to medial direction into the costoclavicular space and the entire drug will be deposited in this location
Retroclavicular	Infraclavicular brachial plexus block	Retroclavicular approach to the infraclavicular region, the probe will be placed below and perpendicular to the clavicle, in a paramedian sagittal plane, medial to the coracoid process, to obtain a short-axis view of the cords of the brachial plexus and the axillary vessels. The needle will then be inserted in the supraclavicular fossa, approximately 1 cm posteriorly to the clavicle, and advanced in plane and strictly parallel to the ultrasound transducer. After passing the initial blind zone of about 2 cm caused by the acoustic shadow of the clavicle, the needle tip will be constantly seen, until it will be positioned posterior to the axillary artery.

Primary Outcome Measures

Name	Time	Method
Motor and sensory block success rate	30 min	Success rate 30 min after local anasthetic injections

Trial Locations

Locations (1)

Facutly of Medicine; 🇪🇬 Minya, Egypt