Ultrasound Guided Superficial Cervical Plexus Block With Either Clavipectoral Fascial Plane Block or Interscalene Brachial Block for Clavicle Surgeries Anesthesia: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Success rate
研究概览
简要总结
This study aims to evaluate and compare the efficacy and safety of ultrasound guided superficial cervical plexus block (SCPB) with either clavipectoral fascial plane block (CPB) or interscalene brachial plexus block (ISBP) as an anesthetic technique for clavicle surgeries.
详细描述
Clavicular fracture is the most common injury in the shoulder, it occurs in 35% of shoulder girdle fractures. Clavicle surgeries often involve addressing fractures, dislocations, or corrective procedures, and they generally require precise and effective pain control.
Traditional superficial cervical plexus block (SCPB) combined with interscalene brachial plexus block (ISBP) can be used in the operation of clavicle fracture.
The SCPB targets the cervical plexus, providing sensory anesthesia to the skin overlying the cervical and upper thoracic regions. It is often used in conjunction with other blocks to enhance analgesia in the upper shoulder and clavicle area.
The ISBP block involves the administration of local anesthetic at the level of the brachial plexus, typically performed between the anterior and middle scalene muscles. This approach provides comprehensive analgesia for the shoulder, upper arm, and part of the clavicular area.
Clavipectoral fascial plane block (CPB) is a new regional nerve block and can be used in anesthesia and postoperative analgesia for clavicle fracture surgery. CPB provides analgesia to the clavicular region and the upper shoulder.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Aged 18 to 65 years.
- •Both sexes.
- •American Society of Anesthesiologists (ASA) physical status I, II.
- •Patients with unilateral clavicular fractures undergo elective internal fixation of clavicle fractures.
排除标准
- •Coagulopathy.
- •Patients with infection at block site.
- •Allergy to local anesthetics.
- •Patient with morbid obesity (body mass index >35 kg/m2).
- •Pre-existing neurological disease.
- •Difficult communication.
研究组 & 干预措施
Group I
Patients will receive Superficial Cervical Plexus Block (SCPB) and Clavipectoral Fascial Plane Block (CPB).
干预措施: Superficial Cervical Plexus Block (SCPB) and Clavipectoral Fascial Plane Block (CPB) (Drug)
Group II
Patients will receive Superficial Cervical Plexus Block (SCPB) and Interscalene Brachial Block (ISBP).
干预措施: Superficial Cervical Plexus Block (SCPB) and Interscalene Brachial Block (ISBP) (Drug)
结局指标
主要结局
Success rate
时间窗: Intraoperatively
The block will be considered successful when complete sensory block is achieved within 45 min after injection of the study drug and inadequate block will be converted to general anesthesia and excluded from the study.
次要结局
- First request of the rescue analgesia(24 hours postoperatively)
- Total morphine consumption(24 hours postoperatively)
- Degree of patient satisfaction(24 hours postoperatively)
- Incidence of Complications(24 hours postoperatively)
研究者
Ahmed Mohamed Aboeldahab
Assistant Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Tanta University