Comparison of Conventional and Retroclavicular Approaches for Ultrasound-guided Infraclavicular Brachial Plexus Block

Ankara Etlik City Hospital

Status: Enrolling

Conditions: Hand Surgery; Peripheral Nerve Block; Pain Management; Upper Extremity; Forearm Surgery

Treatments: Procedure: Retroclavicular approach to the infraclavicular block; Procedure: Conventional approach to infraclavicular block

Study type: Interventional

Funder types: Other

Identifiers

NCT07151443

AEŞH-EK-2025-006

Details and patient eligibility

About

Forearm and hand surgeries are among the most frequently performed surgical interventions both in trauma patients and electively.In these procedures, alternative anesthesia methods such as general anesthesia, regional intravenous anesthesia, regional peripheral nerve blocks and local anesthesia are available.

Peripheral nerve blockade can be used for anesthesia and analgesia.This method allows patients to undergo surgery without general anesthesia and increases patient satisfaction by providing effective analgesia in the postoperative period.

The aim of this study was to compare the conventional and retroclavicular approaches to infraclavicular block in patients undergoing forearm and hand surgery.

Enrollment: 60 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients 18-80 years of age
• Those with ASA score II-III
• Those with a body mass index (BMI) >30
• Patients who are suitable for forearm and hand surgery under regional anesthesia in the operating room

Exclusion criteria

• Patients who cannot perceive and evaluate pain
• Patients who want to have surgery under general anesthesia
• Patients in whom regional anesthesia is contraindicated

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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60 participants in 2 patient groups

Conventional approach to infraclavicular block

Active Comparator group

Description:

After the patients are monitored and placed in the supine position, after appropriate field sterilization, Conventional approach to infraclavicular block will be performed on the patients using 25 ml of local anesthetic solution (20 ml 0.5% bupivacaine + 5 ml 2% lidocaine) under ultrasound guidance.

Treatment:

Procedure: Conventional approach to infraclavicular block

Retroclavicular approach to the infraclavicular block

Active Comparator group

Description:

After the patients are monitored and placed in the supine position, after appropriate field sterilization, Retroclavicular approach to the infraclavicular block will be performed on the patients using 25 ml of local anesthetic solution (20 ml 0.5% bupivacaine + 5 ml 2% lidocaine) under ultrasound guidance.

Treatment:

Procedure: Retroclavicular approach to the infraclavicular block