Clavipectoral Fascial Plane Block Versus Superficial Cervical Block in Fracture Clavicle

Not Applicable

Completed

• Conditions: Fracture Clavicle

• Registration Number: NCT05881473
• Lead Sponsor: Ain Shams University

Brief Summary

Ultrasound-guided Clavipectoral fascial plane block versus ultrasound-guided superficial Cervical plexus block in patients undergoing fracture clavicle operation

Detailed Description

The clavipectoral fascial plane block (CPB) is a novel regional anesthesia technique that has been utilized for clavicular fracture surgery. It has been hypothesized that the CPB is an effective regional anesthesia technique for peri-operative analgesia since the terminal branches of many of the sensory nerves like suprascapular, subclavian, lateral pectoral, and long thoracic nerves pass through the plane between the clavipectoral fascia and the clavicle itself.

The ultrasound-guided superficial cervical plexus (SCP) block may be useful for providers in emergency care settings who care for patients with ear, neck, and clavicular region injuries, including clavicle fractures and acromioclavicular dislocations. The SCP originates from the anterior rami of the C1-C4 spinal nerves and gives rise to 4 terminal branches (greater auricular, lesser occipital, transverse cervical, and suprascapular nerves) that provide sensory innervation to the skin and superficial structures of the anterolateral neck and sections of the ear and shoulder.

Study Timeline

• Study First Submitted: 2023-03-31
• Study First Submitted QC: 2023-05-19
• Study First Posted: 2023-05-31
• Study Start: 2023-06-01
• Primary Completion: 2023-09-01
• Study Completion: 2023-09-20
• Status Verified: 2023-10
• Last Update Submitted: 2023-10-05
• Last Update Posted: 2023-10-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 84

Inclusion Criteria

1. Age from 21 to 60 years
2. Both gender
3. Isolated fracture clavicle.
4. ASA classification 1 & 2

Exclusion Criteria

1. Polytrauma patients with multiple fractures.
2. Hemodynamically unstable patients.
3. Patients with infection at the injection site.
4. Refusal of patients.
5. Patients with disturbed anatomical plane.
6. Patients with a known history of allergy to local anesthetic will be used.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
visual analogue score (VAS score) post operative	starting at the recovery room then every 2 hours for 8 hours post operatively	change in visual analogue score (VAS score) to assess pain post operative described as 10= the sever pain and zero = no pain

Secondary Outcome Measures

Name	Time	Method
hemodynamics	every 2 hours for 8 hours	mean arterial blood pressure

Trial Locations

Locations (1)

Ain Shams University; 🇪🇬 Cairo, Egypt