NCT07209995Enrolling By Invitation不适用
Ultrasound Guided Retroclavicular Infraclavicular Versus Axillary Block as Regional Anesthesia in Obese Patients Undergoing Around and Below Elbow Surgeries: A Randomized Clinical Study
适应症
干预措施
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Time to first analgesic request in each group
研究概览
简要总结
The purpose of this study is to compare the analgesic outcomes (time to first analgesic request, total amount of analgesic consumption, and pain scores) following the ultrasound-guided retroclavicular infraclavicular approach and the axillary approach in obese patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 21 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients acceptance to share in the study.
- •Patients with ASA physical status I-II.
- •Obese patients (BMI 30-40 kg/m²) undergoing around and below elbow surgeries under regional anesthesia.
- •Patients requiring a single injection infraclavicular retroclavicular brachial plexus block or axillary block for around and below elbow surgeries.
排除标准
- •Patients with a history of allergic reactions or contraindications to local anesthetics.
- •Patients with significant comorbidities (e.g., severe cardiovascular, neurological, or musculoskeletal disorders).
- •Patients with a history of previous shoulder or clavicle surgery that may distort anatomy and affect the efficacy of the block.
- •Pregnant or breastfeeding women.
- •Patients with a history of systemic infections or skin infections in the area of the block.
研究组 & 干预措施
Group (R)
Active Comparator
Patients will recieve retroclavicular infraclavicular brachial plexus block
干预措施: retroclavicular infraclavicular brachial plexus block for (Other)
Group (A)
Active Comparator
Patients will receive the axillary brachial plexus
干预措施: axillary block (Other)
结局指标
主要结局
Time to first analgesic request in each group
时间窗: 24 hours postoperative
次要结局
- Block assessment and definition of successful block(30 minutes after the block)
- Imaging time(the time between probe application and insertion of the needle)
- Needle time(the time between insertion of the needle and complete injection of local anesthetic)
- -Procedure time(the summation of the imaging and needling times)
- Pain intensity(basal, one, 2, 4, 8, 12, 16, 20 and 24 hours postoperative)
- Total analgesia need(the first postoperative 24 hours)
- Duration of the sensory block(first 24 hours postoperative)
- Duration of the motor block(first 24 hours postoperative)
- Incidence of block complications(first 24 h0urs postoperative)
研究者
Marwa Mohamed Medhat
assistant professor of anesthesia and surgical intensive care (Principal Investigator)
Zagazig University
研究点 (1)
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