Comparing Local Anesthetic Techniques for Clavicular Surgeries

Zagazig University

Status: Completed

Conditions: Anesthesia, Local

Treatments: Procedure: Superior trunk block; Procedure: Clavipectoral fascial plane block

Study type: Interventional

Funder types: Other

Identifiers

NCT06220591

Clavicular anesthesia

Details and patient eligibility

About

Surgical fixation for acute clavicular fractures is increasingly preferred among orthopedic surgeons to improve healing and decrease the risk of malunion. Regional anesthesia for clavicular fractures allows rapid recovery, prolonged postoperative analgesia, and less opioid consumption, and so decreases the hospital stay. There is no consensus regarding the best regional anesthetic technique for surgical fixation for acute clavicular fractures. Selective supraclavicular nerve block combined with either superior trunk or clavipectoral fascial plane block is a promising regional anesthetic technique for midshaft clavicular surgeries.

Full description

This study will assess if there is a difference in the quality of surgical anesthesia between selective supraclavicular nerve block combined with either superior trunk or clavipectoral fascial plane block for clavicular fractures. Aiming to achieve high-quality surgical anesthesia and postoperative analgesia for middle clavicular fracture surgeries with optimum hemodynamic stability and high patient and surgeon satisfaction.

Enrollment: 54 patients

Sex: All

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age: 18-45 years old.
• Sex: both sexes.
• The American Society of Anesthesiologists (ASA) Physical status: ASA I & II.
• Body mass index (BMI): 18.5 - 24.9 kg/m2.
• Type of operations: surgical repair of the midshaft clavicular injuries.

Exclusion criteria

• Patient refusal.
• Known hypersensitivity to lidocaine or bupivacaine.
• Patients with respiratory insufficiency.
• Coagulation disorders or taking drugs affect surgical hemostasis.
• Patients with pre-existing neurological deficits
• Uncooperative patient or with altered mental status.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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54 participants in 2 patient groups

Superior trunk group

Active Comparator group

Description:

The patient will undergo selective supraclavicular nerve block, then will undergo block of superior trunk "The fifth \& sixth cervical nerve roots" of the brachial plexus on the side of the affected clavicle.

Treatment:

Procedure: Superior trunk block

Clavipectoral fascial plane group

Active Comparator group

Description:

The patient will undergo selective supraclavicular nerve block, then will undergo clavipectoral fascial plane block on the lateral and medial ends of the affected clavicle.

Treatment:

Procedure: Clavipectoral fascial plane block