Comparison of Central Versus Peripheral Placement of Local Anesthetic

Vanderbilt University

Status

Completed

Conditions

Hand Surgery

Wrist Surgery

Elbow Surgery

Forearm Surgery

Treatments

Procedure: Central placement of local anesthesia

Procedure: Peripheral placement of local anesthesia

Study type

Interventional

Funder types

Other

Identifiers

NCT00699244

61267

Details and patient eligibility

About

Does ultrasound increases the success rate and if there is a difference in success rate between placing the local anesthetic centrally versus peripherally.

Full description

A comparison of the infraclavicular placement of local anesthetic either centrally (posterior cord) vs peripheral placement (lateral or medial cord) using ultrasound guidance. This will be done to determine if ultrasound increases the success rate and if there is a difference in success rate between placing the local anesthetic centrally versus peripherally.

Enrollment

218 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

American Society of Anesthesiologists (ASA) Class I-III.
Patient is undergoing elective hand or forearm surgery.
Patient is an adult, 18 years old or older.

Exclusion criteria

Morbid obesity (calculated body mass index > 35 kg/m2).
Patient unable to cooperate.
Patient with a known brachial plexus injury.
Medical contraindication to anesthetic technique (allergy, cardiac condition, neurologic condition, localized infection, bleeding disorder).
Patients who are pregnant.