Influence of brachial plexus block on major respiratory muscle (diaphragm) and Lung functions : A randomised clinical comparison of ultrasound guided supraclavicular and costoclavicular brachial plexus block for below shoulder surgical anaesthesia.
- Conditions
- Health Condition 1: O- Medical and Surgical
- Registration Number
- CTRI/2023/02/049566
- Lead Sponsor
- MAHATMA GANDHI MEDICAL COLLEGE AND HOSPITA
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 60
Elective upper limb surgeries (including elbow, forearm, hand, and wrist surgery)
Patients of either sex having age 18-65years
Body weight 50 to 70 kgs
American society of anaesthesiologists (ASA) physical status I – II
Patient’s written and informed consent
Patient refusal for the anaesthetic technique.
Any bleeding disorder or patient on anticoagulants
Neurological deficits involving brachial plexus
Patients with allergy to local anaesthetics
Local infection at the injection site
Patient belonging to ASA CLASS III, IV & V
Patients on any sedatives or antipsychotics
Patient with sever renal, hepatic, respiratory and cardiac disease.
Conversion to general anesthesia
Pregnant patients
Significant pulmonary disease including all pulmonary morbidities in which the respiratory compromise was expected in the case of HDP.
HIV, HbsAg, AntiHCV positive patients.
H/O Covid infection during last 3 months.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The primary outcome of the study will be the influence of CCB(costoclavicular block) and SCB(supraclavicular block) on diaphragmatic function in terms of changes in excursion and thickness of diaphragm measured by ultrasonography and also changes in dynamic pulmonary functions on spirometry.Timepoint: Changes in excursion and thickness of diaphragm to be measured 30 minutes and 6 hours after block and various pulmonary function test measured by spirometry 30 minutes and 6 hours after block.
- Secondary Outcome Measures
Name Time Method The secondary outcome of the study will be comparison of the onset and duration of sensory and motor block following CCB and SCB and to study the complications encountered with the two techniques. <br/ ><br>Timepoint: Before giving the block, 30 minutes after block and 6 hours after block. Complications: After giving block for next 6 hours.