Jedi Grip vs. Double Operator Technique for Axillary Brachial Plexus Block

Ankara City Hospital

Status: Completed

Conditions: Brachial Plexus Block; Ultrasound, Interventional

Treatments: Procedure: conventional two-operator versus single operator using Jedi grip axillary brachial plexus blockage

Study type: Interventional

Funder types: Other

Identifiers

NCT04463329

E-18-1955

Details and patient eligibility

About

In this prospective randomized controlled observer-blinded study we aimed to compare the efficacy of a single operator technique so called Jedi Grip and conventional technique requiring double operator in ultrasound guided axillary brachial plexus block.

Full description

Patients aged between 18 and 65 years, American Society of Anesthesiologists (ASA) physical status I to II ) undergoing elective hand, wrist and forearm surgery were prospectively enrolled. Patients were randomly assigned to Group C (conventional technique) or group J (Jedi technique). In both groups, axillary plexus blockage was provided by applying 5cc of a mixture of 10 cc 0.5% bupivacaine and 10 cc 2% prilocaine to the ulnar, radial, median and musculocutaneous nerves. Parameters such as performance time and the number of needle passes were recorded during procedure. Subsequently, a blinded observer evaluated and recorded parameters related to the success of blockage. The main outcome variable was performance time and success rate (surgical anesthesia).

Enrollment: 100 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• undergoing elective hand, wrist and forearm surgery

Exclusion criteria

• hepatic or renal failure, serious cardiac or pulmoner disease, local or systemic infection, sepsis, coagulation disorder, neurological, muscular or psychiatric disease, body mass index (BMI) below 18.5 or above 35, drug and substance abuse, pregnancy, refusal of regional anesthesia, history of allergy to local anesthetics, mental-motor retardation (inability to consent or assess the visual analog scale(VAS) pain score), preoperative long-term NSAIDs or opioid use and prior surgery in the axillary regions.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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100 participants in 2 patient groups

Group C

Active Comparator group

Description:

conventional two-operator axillary brachial plexus blockage

Treatment:

Procedure: conventional two-operator versus single operator using Jedi grip axillary brachial plexus blockage

Group J

Active Comparator group

Description:

axillary brachial plexus block with single operator using Jedi grip

Treatment:

Procedure: conventional two-operator versus single operator using Jedi grip axillary brachial plexus blockage