Tissue Perfusion for Different Approaches of Brachial Plexus Block

Not Applicable

Completed

• Conditions: Upper Extremity Fracture; Brachial Plexus Blocks; Perfusion Index; Tissue Perfusion; Regional Anesthesia
• Interventions: Other: Lateral sagittal approach; Other: Costoclavicular approach

• Registration Number: NCT04764591
• Lead Sponsor: Zonguldak Bulent Ecevit University

Brief Summary

To compare the two different approaches of infraclavicular brachial plexus block in forearm, wrist and hand surgery in terms of perfusion index, tissue oxygenation, sensory and motor block onset time and total effect time, first analgesic time, side effects and complications, and duration of block application.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-02-10
• Study First Submitted QC: 2021-02-19
• Study First Posted: 2021-02-21
• Study Start: 2022-01-01
• Primary Completion: 2022-12-01
• Study Completion: 2022-12-01
• Status Verified: 2024-02
• Last Update Submitted: 2024-02-08
• Last Update Posted: 2024-02-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• patients who undergo elective forearm or hand surgery under infraclavicular brachial plexus block
• American Society of Anesthesiologists class 1 to 3
• Ability to consent

Exclusion Criteria

• History of allergic reaction to local anaesthetics
• Peripheral neuropathy
• Renal or hepatic insufficiency
• Coagulation disorders

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Lateral sagittal approach	Lateral sagittal approach	Patients in this group will be randomized to receive a lateral sagittal approach for Ultrasound Guided Infraclavicular Brachial Plexus Nerve Block .
Costoclavicular approach	Costoclavicular approach	Patients in this group will be randomized to receive a costoclavicular approach to Ultrasound Guided Infraclavicular Brachial Plexus Nerve Block .

Primary Outcome Measures

Name	Time	Method
perfusion index	up to motor block scale ≥3	the effect of the block on the perfusion index
tissue oxygenation	up to motor block scale ≥3	the effect of the block on the tissue oxygenation

Secondary Outcome Measures

Name	Time	Method
motor block onset time	Assessed 40 minutes after block completion	quality of motor block scale ≥2
duration of block application	during the intervention	from the needle puncture to the end of the local anesthetic injection
complications	up to 24 hours	block related complications such as pneumothorax, vascular injury, local anesthetic systemic toxicity
sensorial block onset time	up to 24 hours	quality of sensorial block scale ≥2

Trial Locations

Locations (1)

Zonguldak Bülent Ecevit University Medicine Faculty; 🇹🇷 Zonguldak, Kozlu, Turkey