Comparision of two approaches of infraclavicular brachial plexus block for below elbow fractures under USG and PNS guidance

Not Applicable

• Conditions: Health Condition 1: S62- Fracture at wrist and hand levelHealth Condition 2: S52- Fracture of forearmHealth Condition 3: S50-S59- Injuries to the elbow and forearmHealth Condition 4: S60-S69- Injuries to the wrist, hand and fingersHealth Condition 5: S00-T88- Injury, poisoning and certain other consequences of external causesHealth Condition 6: S529- Unspecified fracture of forearmHealth Condition 7: S629- Unspecified fracture of wrist andhand

• Registration Number: CTRI/2023/06/053528
• Lead Sponsor: GMERS Medical college and Hospital

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Last Update Posted: 26 June 2023

Recruitment & Eligibility

• Status: ot Yet Recruiting
• Sex: Not specified
• Target Recruitment: 0

Inclusion Criteria

1)Age: 18-60 years

2)BMI: <30 kg/m2

3) American society of anaesthesia grading: I and II

4) Forearm, hand and wrist fractures

Exclusion Criteria

1) Patient refusal

2) Allergy to LA

3) Local site infection

4) Anatomical distortion of clavicle

5) Polytrauma

6) Pre-existing neurological deficit

7) Pre-existing systemic illness like uncontrolled hypertension, ischemic heart disease, severe pulmonary disease, renal or hepatic dysfunction,sepsis

8) Surgeries requiring tourniquet

9) Coagulopathy

10) Patients with hearing disability, dementia, psychiatric illness or mentally challenged, having language barrier, who cannot express scoring system used in the study

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare the procedure time between both the groupsTimepoint: -Procedure time (at baseline) - From the contact of the ultrasound probe with the patient to the removal of needle <br/ ><br>

Secondary Outcome Measures

Name	Time	Method
ComplicationsTimepoint: Complications if occur any will be observed intra-operative period;Needle passesTimepoint: During the procedure, number of times the needle required redirection or retraction of at least 10 mm for â?¥2 times will be recorded as an â??additional passâ??.;Needle visibilityTimepoint: Whole needle with tip-3 Needle course partially seen-2 Only needle impression-1 <br/ ><br>;To compare onset of sensory & motor block in both groupsTimepoint: After LA injection, sensory & motor blockade will be evaluated by an observer every 5 min, until 30 min.;To compare success ratesTimepoint: Block success: When a minimal composite sensorimotor score of 14 is achieved, the surgeon can proceed with surgery. <br/ ><br> <br/ ><br>Block failure: Patients requiring supplemental analgesia, additional LA, general anaesthesia or having composite sensorimotor score 14 will be considered as a failure of study.