Comparison of Costoclavicular Brachial Plexus Block and Supraclavicular Brachial Plexus Block (BPB)

Ajou University School of Medicine

Status: Withdrawn

Conditions: Phrenic Nerve Paralysis

Treatments: Procedure: Costoclavicular block

Study type: Observational

Funder types: Other

Identifiers

NCT03097159

106421

Details and patient eligibility

About

The investigator will compare Costoclavicular approach of infraclavicular block and supraclavicular block. Especially, the incidence of phrenic nerve palsy and the quality of block.

Full description

Costoclavicular brachial plexus block is a recently developed approach of infraclavicular brachial plexus block. Using ultrasound, all of 3 cords are well visible in single plane. Compared to conventional infraclavicular block, it needs smaller amount of local anesthetics.

Supraclavicular brachial plexus block is known as spinal anesthesia of upper extremities. It provides fast and good quality of anesthesia and analgesia. But some studies showed that there are over 50% of phrenic nerve palsy in supraclavicular block.

In this study, the investigator will compare phrenic nerve palsy incidence and block quality between Costoclavicular block and supraclavicular block using ultrasound.

Sex: All

Ages: 19 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA I or II
• Scheduled for surgery of hand or forearm

Exclusion criteria

• Patient refusal
• Neuromuscular disease
• Pregnancy
• Previous history of surgery of periclavicular region
• Nerve injury history
• Bleeding tendency
• Allergy to local anesthetics
• Other contraindication of regional anesthesia

Trial design

0 participants in 2 patient groups

Costoclavicular block

Description:

For anesthesia, this group of patients will be received ultrasound guided costoclavicular block

Treatment:

Procedure: Costoclavicular block

Supraclavicular block

Description:

For anesthesia, this group of patients will be received ultrasound guided supraclavicular block