COMPARISON OF TWO DIFFERENT APPROACHES OF SUBCLAVIANPERIVASCULAR BRACHIAL PLEXUS BLOCK IN PATIENTS UNDERGOINGBELOW ELBOW SURGERIES

Not yet recruiting

• Conditions: Medical and Surgical, (2) ICD-10 Condition: S529||Unspecified fracture of forearm,

• Registration Number: CTRI/2021/10/037456

Brief Summary

BACKGROUND:Supraclavicular block of the brachial plexus is a commonly used technique ofanaesthesia for upper limb surgeries. It provides an excellent anesthesia for the whole ofthe upper limb often referred to as the spinal anaesthesia of the upper limb. The mostfeared complication of this procedure is pneumothorax but with the advent of ultrasoundthis has reduced. The conventional coronal approach as described by Chan et all ofultrasound guided is the routinely being used technique wherein the apex of the lung isvisualized in close proximity to the plexus. Thus the risk of pneumothorax is still a fearedcomplication. Thus an ideal probe placement might improve better and safe visualizationof the brachial plexus in the supraclavicular region thereby decreasing the complicationwith an improved execution of the block.AIMS AND OBJECTIVES:The study aims to compare the efficacy of ultrasound-guided conventionaltechnique (coronal oblique) with the modified parasagittal approach of subclavianperivascular brachial plexus block in patients undergoing below elbow surgeries. Theprimary objective is to compare the ergonomics of two approaches (conventional andmodified parasagittal) in ultrasound-guided subclavian perivascular brachial plexus blockin terms of the time taken to optimize the ultrasound image (duration of scanning) andtime required to perform the block (duration of the procedure). The secondary objectivesis to compare visibility of anatomical structures (pleura, first rib, sheath & elements ofbrachial plexus, subclavian artery, transverse cervical/dorsal scapular artery), onset ofsensory and motor blocks, sparing of the nerve(s) between the two groups, requirementfor supplemental blocks between the two groups, duration of the block, comfort of thepatient while performing the block and complications (if any).

Detailed Description

Not available

Study Timeline

• Study Start: 2021-01-11
• Last Update Posted: 2021-10-14

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

• Patients scheduled for below-elbow (forearm and hand) surgeries (elective and emergency) under SPBPB Patients of either sex.
• Age group between 18 and 60 years Height 160–190 cm and weight 50–90 kg Patients belonging to the American Society of Anaesthesiologists (ASA) physical status grades I and II.

Exclusion Criteria

• Patients not willing to participate in the study.
• Patients with neurological deficit in the upper limb.
• Body mass index (BMI) ≥30 kg/m2 Any contraindications to SPBPB like local skin pathology, bleeding disorder, or patients on anticoagulants.
• Conversion to general anaesthesia Patients with a history of significant respiratory, cardiac, hepatic, renal, neurological, or endocrinological diseases (ASA Class III or above).
• Pregnant patients and lactating mothers.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
time required to perform the block (duration of the procedure).	During the performance of blocks and after the procedure
To compare the ergonomics of two approaches (conventional and modified	During the performance of blocks and after the procedure
parasagittal) in ultrasound-guided subclavian perivascular brachial plexus block in	During the performance of blocks and after the procedure
terms of the time taken to optimize the ultrasound image (duration of scanning) and	During the performance of blocks and after the procedure

Secondary Outcome Measures

Name	Time	Method
To compare	1. Visibility of anatomical structures (pleura, first rib, sheath and elements of

Trial Locations

Locations (1)

Ganga Hospital, Coimbatore; 🇮🇳 Coimbatore, TAMIL NADU, India

Ganga Hospital, Coimbatore

🇮🇳Coimbatore, TAMIL NADU, India

Soundarya R

Principal investigator

8939740190

soundarya4789@gmail.com