Supraclavicular Brachial Plexus Block as Opioid Sparing Technique in Pediatrics Undergoing Arteriovenous Fistula Creation

Tanta University

Status: Completed

Conditions: Supraclavicular Brachial Plexus Block; Arteriovenous Fistula; Pediatric; Opioid Sparing

Treatments: Other: Supraclavicular brachial plexus block

Study type: Interventional

Funder types: Other

Identifiers

NCT07012616

36264PR1208/5/25

Details and patient eligibility

About

This study aims to evaluate the efficacy of supraclavicular brachial plexus block as an opioid-sparing technique in pediatric patients undergoing arteriovenous fistula creation.

Full description

The global incidence of end-stage renal failure (ESRF) is increasing. The preferred procedure for patients with ESRF undergoing maintenance Haemodialysis (HD) is the placement of an arteriovenous fistula (AVF).

In patients with ESRF, brachial plexus block (BPB) is frequently employed to administer anesthesia for the establishment or modification of AVF. This technique offers pain relief, sympathetic blockade, ideal surgical conditions, and a sufficient duration of postoperative block, preventing arterial spasms and graft thrombosis

Enrollment: 50 patients

Sex: All

Ages: 6 to 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age from 6 to 18 years.
• Both sexes.
• American Society of Anesthesiology (ASA) physical status I- III.
• Undergoing arteriovenous fistula creation under general anesthesia.

Exclusion criteria

• Allergy to local anesthetics.
• Infection at the site of block.
• Local infection.
• Coagulation disorder.
• Previously failed or revision of blocked arteriovenous fistula.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

Supraclavicular brachial plexus block group

Experimental group

Description:

Patients will receive an ultrasound-guided supraclavicular brachial plexus block.

Treatment:

Other: Supraclavicular brachial plexus block

Control group

No Intervention group

Description:

Patients will not receive supraclavicular brachial plexus block as a control group.