Comparative Study Between Two Different Approaches of Brachial Plexus Block: Supraclavicular Approach and Retroclavicular Approach

Not Applicable

Completed

• Conditions: Brachial Plexus Block
• Interventions: Procedure: supraclavicular brachial plexus block; Procedure: Retroclavicular brachial plexus block

• Registration Number: NCT05187988
• Lead Sponsor: Sohag University

Brief Summary

In this study investigators will compare two different approaches of brachial plexus block ;supraclavicular approach and retroclavicular approach regarding success rate, duration of block, complications

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-11-28
• Study Start: 2022-01-05
• Study First Submitted QC: 2022-01-07
• Study First Posted: 2022-01-12
• Status Verified: 2022-09
• Last Update Submitted: 2022-09-04
• Primary Completion: 2022-09-05
• Study Completion: 2022-09-05
• Last Update Posted: 2022-09-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• 100 patients doing distal arm surgery, elective , 18 to 60 years old , will be included in double blinded randomized study.

Exclusion Criteria

• Patient refusal .
• local infection or deformity at the block site.
• Patient with significant neurological , psychiatric or neuromuscular disease.
• Pregnancy or lactating women .
• Coagulopathy .
• Morbid obesity .
• History of allergy to local anaesthetics

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Supraclavicular approach group	supraclavicular brachial plexus block	probe placed firmly over the supraclavicular fossa, parallel to the clavicle to obtain a short-axis view of the divisions of the brachial plexus and the subclavian artery, lying on the first rib After skin infiltration with lidocaine 2% a 23-gauge 70mm block needle inserted in-plane with the ultrasound beam, in a lateral-to-medial direction, until the needle tip's positioned at the junction of the first rib and subclavian artery
Retroclavicular approach group	Retroclavicular brachial plexus block	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 be then 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 is constantly seen, until it is positioned posterior to the axillary artery

Primary Outcome Measures

Name	Time	Method
Block success rate	one year	Investigator will compare success rate of both types of block and which one is more likely to be successfully administrated
Duration of sensory and motor blockade	one year	Time which each procedure will take to block sensory and motor stimuli
Complications	one year	Investigators will compare complications like pneumothorax,nerve injury,bleeding and which one is more likely to cause complications

Secondary Outcome Measures

Name	Time	Method
Duration of procedure	one year	Time which took the investigator to administrate each type of block
Number of needle passes	one year	number of times in which needle has entered been entered into the participant in each group

Trial Locations

Locations (1)

Sohag University Hospital; 🇪🇬 Sohag, Egypt