Comparison of ultrasound guided costoclavicular brachial plexus block versus supraclavicular brachial plexus block for forearm and hand surgeries: A double blinded randomized controlled trial
试验速览
- 阶段
- 2 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 92
- 试验地点
- 1
- 主要终点
- To assess and compare the onset of sensory and motor blockade
研究概览
简要总结
Regional anesthesia involves injecting drug directly to the peripheral nerves to block pain and movements in surgical site, without affecting patient’s consciousness, it minimizes systemic side effects in comparison to general anesthesia.
Supraclavicular and infraclavicular brachial plexus block are common regional anesthesia techniques used for upper limb surgery.
Costoclavicular brachial plexus block is a modification of ultrasound guided infraclavicular technique.
Ultrasound guidance enhances safety as it allows precise visualization of nerves and hence provides faster onset.
Our hypothesis is that Costoclavicular brachial plexus block will cause rapid onset of nerve blockade compared to Supraclavicular brachial plexus block.
Factors such as onset of sensory and motor blocks, nerve sparing, procedural duration and duration of analgesia will be compared within the two groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •Elective forearm and hand surgeries
- •American Society of Anaesthesiologists physical status I, II & III 3.Willing to provide informed consent for participation in the study.
排除标准
- •Known allergy or contraindication to local anesthetics.
- •Pre-existing neurological deficits in the upper limb.
- •Coagulopathy or bleeding disorders.
- •Significant cardiopulmonary, hepatic or renal diseases.
- •History of chronic pain syndromes or psychiatric disorders.
- •Inability to lie in a suitable position for the regional anesthesia procedure.
结局指标
主要结局
To assess and compare the onset of sensory and motor blockade
时间窗: After 5 minutes of performing procedure and then every 5 minutes of interval till complete blockade is achieved
次要结局
- To assess and compare the duration of performance of block, duration of analgesia, nerve sparing effects, overall success rates and adverse events(Postoperatively, pain score (Visual analogue scale) will be recorded at 0,2,4.6.12 and 24th hour.)
研究者
Kumar Arun
Armed Forces Medical College