ULTRASOUND GUIDED COMPARISON BETWEEN TWO METHODS OF REGIONAL NERVE BLOCK FOR UPPER LIMB SURGERIES.

Not yet recruiting

• Conditions: Measurement and Monitoring,

• Registration Number: CTRI/2022/01/039448
• Lead Sponsor: Government Medical College and Hospital

Brief Summary

**Introduction**

·         Ultrasound guided costoclavicular brachial plexus block (CC-BPB)  is emerging as a promising infraclavicular approach as lateral, medial and posterior cord are superficial  and closely packed together in this region.

·         The conventional approach i.e lateral approach to costoclavicular block (CCB) may not be successful in some cases. Hence, the need for an alternative approach. The difficulty in performing lateral approach to costoclavicular block are

1. The coracoid  process  acting as an obstacle and

2. Guiding the needle toward the vessels and pleura.

These structures can be avoided by taking a medial   approach, which means going from inside to outside.

·      Further one needs to have an alternate to each approach as tumours, anatomical variations, and anomalies may mandate either of the two techniques.

·      The present study will be undertaken to determine the viability of the medial approach  to CCB as an alternative to lateral approach to CCB and the goal of this study is to analyse and compare the block performance time between medial and lateral approaches to CCB.

 **Primary objective**

·         To compare the performance time between the medial and lateral approaches of ultrasound guided costoclavicular brachial plexus block for upper limb surgeries.

 **Secondary objectives**

·         To compare the block onset time, total anaesthesia time, anaesthesia success, number of needle passes, performer difficulty, patient satisfaction, rescue analgesia required post-operatively and complications between the two groups.

 **Study design :** Prospective randomized double blinded parallel group trial performed at Department of Anaesthesiology and Critical Care GMC , Jammu. Since there are no studies that compare these two approaches, we decided to do an interventional prospective study. We will recruit a total of 60 patients with 30 patients in each group.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-01-02
• Last Update Posted: 2022-12-26

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: Not specified
• Target Recruitment: 60

Inclusion Criteria

• 1. Age from -18 years to 80 years giving informed written consent to participate in the study.
• 2. Gender – Both.
• 3. Patients of ASA Grade I / ASA Grade II.
• 4. Patients undergoing surgery of elbow, forearm, wrist and hand.
• 5. Body mass index of 18 to 35.

Exclusion Criteria

• 1.Patients who refuse to participate in the study.
• 2.Patients with coagulopathy, on anticoagulant therapy and sepsis.
• 3.Patient allergic to local anaesthetic agents.
• 4.Patient with pre-existing neuropathies.
• 5.Patients who had surgeries around infraclavicular fossa.
• 6.Patient with local infection around the needle site.
• 7.Psychiatric disorder.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Performance time	5-10 mins

Secondary Outcome Measures

Name	Time	Method
Block onset time, total anaesthesia time,number of needle passes, anesthesia success, performer difficulty, patient satisfaction and complications	5,10,15,20,25,30 mins

Trial Locations

Locations (1)

Government Medical College and Hospital, Bakshi Nagar Jammu; 🇮🇳 JAMMU, & KASHMIR, India

Government Medical College and Hospital, Bakshi Nagar Jammu

🇮🇳JAMMU, & KASHMIR, India

Dr Zahida Aziz

Principal investigator

08825015646

zahidaaziz777@gmail.com