Ultrasound Guided Retroclavicular Infraclavicular Versus Axillary Block as Regional Anesthesia in Obese Patients

Zagazig University

Status

Invitation-only

Conditions

Achievement of High-quality Analgesia in Elbow Surgeries

Treatments

Other: axillary block

Other: retroclavicular infraclavicular brachial plexus block for

Study type

Interventional

Funder types

Other

Identifiers

NCT07209995

ZU-IRB#1680/23-Sep-2025

Details and patient eligibility

About

The purpose of this study is to compare the analgesic outcomes (time to first analgesic request, total amount of analgesic consumption, and pain scores) following the ultrasound-guided retroclavicular infraclavicular approach and the axillary approach in obese patients.

Enrollment

90 estimated patients

Sex

All

Ages

21 to 45 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients acceptance to share in the study.
Patients with ASA physical status I-II.
Obese patients (BMI 30-40 kg/m²) undergoing around and below elbow surgeries under regional anesthesia.
Patients requiring a single injection infraclavicular retroclavicular brachial plexus block or axillary block for around and below elbow surgeries.

Exclusion criteria

Patients with a history of allergic reactions or contraindications to local anesthetics.
Patients with significant comorbidities (e.g., severe cardiovascular, neurological, or musculoskeletal disorders).
Patients with a history of previous shoulder or clavicle surgery that may distort anatomy and affect the efficacy of the block.
Pregnant or breastfeeding women.
Patients with a history of systemic infections or skin infections in the area of the block.