C2-C4 Compartment Block Versus Block of Costagliola, in TEAC

San Salvatore Hospital of L'Aquila

Status: Completed

Conditions: Neuropathic Pain; Somatic Pain

Treatments: Procedure: C2-C4 compartment anesthetic block; Procedure: Costagliola block

Study type: Interventional

Funder types: Other

Identifiers

NCT03409068

0174363/2017

Details and patient eligibility

About

C2-C4 compartment block compared to the Costaiola block, in the control of persistent postoperative pain (somatic and neuropathic) in patients undergoing carotid thromboendarterectomy

Full description

A comparative analysis will assess the somatic pain (scores ≥4 on the NRS scale) and neurapathic pain (by the Lindblom roller and Von Frei hair tests) between group A (block group of the C2-C4 compartment ) and the control group B (block group according to Costagliola), during the 3 months after surgery.

Enrollment: 100 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients undergoing to carotid thromboendarterectomy

Exclusion criteria

• ASA status: 4
• pregnancy
• BMI > 39,99
• neurological impairment
• neck anatomical abnormalities
• status of sepsis
• coagulopathy
• neck cancer
• neck infections

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

---

100 participants in 2 patient groups

C2-C4 compartment block

Experimental group

Description:

Experimental: the C2-C4 compartment anesthetic block is performed by injecting Levobupivacaine 0.375% 20 mL between the posterior face of the middle scalenous muscle, the anterior face of the posterior scalene muscle and the lower plane of the sternoscleidomastoid muscle.

Treatment:

Procedure: C2-C4 compartment anesthetic block

Costagliola block

Active Comparator group

Description:

Active Comparator: the Costagliola anesthetic block is performed by injecting Levobupivacaine 0.375% 20 mL injected in the posterior margin of the sternocleidomastoid muscle and along the anterior border of the same muscle.

Treatment:

Procedure: Costagliola block