Success Rate of Infra-clavicular Blocks: Comparison of Ultrasound Versus Neurostimulation Guided Catheter Placement
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 210
- 试验地点
- 2
- 主要终点
- Neurostimulation versus ultrasound guided infraclavicular catheter placement
研究概览
简要总结
The purpose of this study is to determine whether ultrasound guidance or nerve stimulation is the best option for placing continuous peripheral nerve block catheters for upper limb surgery.
详细描述
In a multidisciplinary, observer blinded, prospective, single center, randomized study, success rate of US guided versus neurostimulation guided catheter placement for continuous infraclavicular block in patients scheduled for upper limb surgery will be studied. Block effectiveness, time taken, discharge from recovery, postoperative pain and disability and patient acceptance will be studied in 210 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 (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18-80 yrs
- •Weight 40-100 kg
- •Either sex
- •Height >150 cm
- •American Society of Anesthesiologists physical status 1-3
- •Scheduled for hand or elbow surgery under regional anesthesia
排除标准
- •Inability to give informed consent
- •Refusal of treatment randomization
- •Language barrier
- •Allergy to any medications being used in the study protocol
- •Ongoing major medical or psychiatric problems
- •Chronic pain or narcotic use/abuse
- •Peripheral neuropathy or major neurological problems
- •Scarring in area of blockade
- •Inability to co-operate with post-operative evaluation
- •Major coagulopathy
- •Pregnancy and breast feeding
- •Patients requiring anesthesia of other surgical sites
- •Obese patients (i.e. BMI >40)
- •Postoperatively, patients will be excluded if they have had additional operative procedures requiring a change in the usual protocol of care
研究组 & 干预措施
Neurostimulation
Block catheter will be introduced using neurostimulation
干预措施: Ultrasound (Procedure)
Ultrasound
Block catheter will be introduced using ultrasound
干预措施: Ultrasound (Procedure)
结局指标
主要结局
Neurostimulation versus ultrasound guided infraclavicular catheter placement
时间窗: 14 days
Comparision of block success with neurostimulation and ultrasound guided placed infraclavicular catheters
次要结局
- Time taken for complete nerve block(14 days)
研究者
Shalini Dhir
DR.
Lawson Health Research Institute