A Randomised controlled trial of infraclavicular versus costoclavicular approach of Infraclavicular block in upper limb surgery

Not yet recruiting

• Conditions: Disorder of continuity of bone, unspecified,

• Registration Number: CTRI/2021/08/035491
• Lead Sponsor: Lady hardinge medical college

Brief Summary

Brachial plexus (BP) blocks are the most common anaesthesia modality for conducting upper limb surgery as they reliably provide analgesia and immobilisation to the target limb.Ultrasound(USG) is now increasingly used to guide site-specific regional anaesthesia with improved safety, efficacy and visual affirmation of the block given.

The infraclavicular block (ICB) is the method of accomplishing BP anaesthesia below the level of clavicle where the axillary vessel and the cords of the BP lie deep to the pectoralis muscles just inferior and slightly medial to the coracoid process.

Single shot plexus block although it produces effective anaesthesia has a limited duration of post-operative analgesia and number of agents have been tested in order to prolong analgesia duration. The use of perineural catheters is an effective option to improve and prolong the post-operative analgesic effect.

Conventially, the ICB is given through paracoracoid approach with good efficacy. Recently the costoclavicular approach to ICB has been described. The single shot costoclavicular ICB has been found to be equally effective as single shot paracoracoid ICB. Considering this costoclavicular space (CCS) being covered by pectoralis major and subclavius muscle and BP cords being clustered together here which can be seen in single transverse sonogram hence, this may be the ideal location for continuous perineural BP block.

Detailed Description

Not available

Study Timeline

• Last Update Posted: 2021-03-08
• Study Start: 2021-08-13

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

All patients>18yrs of ASA1 and 2 of either sex.

Exclusion Criteria

• 1.Upper limb surgeries above mid humerus level.
• Any known drug allergies.
• 3.Contraindication to nerve block like coagulopathy, bleeding diathesis and local infections.
• 4.Preexisting neurological deficit.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Mean opioid consumption(mg/kg) at the end of 24 hours poatoperatively in both paracoracoid and costoclavicular infraclavicular block groups.	Mean opioid consumption(mg/kg) at the end of 24 hours poatoperatively in both paracoracoid and costoclavicular infraclavicular block groups.

Secondary Outcome Measures

Name	Time	Method
1. To compare the Pain score (Numerical Rating Scale (NRS)) on rest at 0,6,12 and24 hours postoperatively in both groups.	2. To compare the Pain score (NRS) on limb movement at 0,6,12 and 24 hours postoperatively in both groups.

Trial Locations

Locations (1)

Lady Hardinge Medical College; 🇮🇳 Central, DELHI, India

Lady Hardinge Medical College

🇮🇳Central, DELHI, India

priyanka sagar

Principal investigator

9971498506

96priyankasagar@gmail.com