Comparison of ultrasound guided costoclavicular brachial plexus block versus supraclavicular brachial plexus block for forearm and hand surgeries: A double blinded randomized controlled trial
Overview
- Phase
- Phase 2
- Status
- Not yet recruiting
- Sponsor
- Kumar Arun
- Enrollment
- 92
- Locations
- 1
- Primary Endpoint
- To assess and compare the onset of sensory and motor blockade
Overview
Brief Summary
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant and Investigator Blinded
Eligibility Criteria
- Ages
- 18.00 Year(s) to 65.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •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.
Exclusion Criteria
- •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.
Outcomes
Primary Outcomes
To assess and compare the onset of sensory and motor blockade
Time Frame: After 5 minutes of performing procedure and then every 5 minutes of interval till complete blockade is achieved
Secondary Outcomes
- 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.)
Investigators
Kumar Arun
Armed Forces Medical College