US Guided WALLANT vs CPB Block for Clavicle Surgery (WALANT-CPB)

Al-Azhar University

Status: Enrolling

Conditions: Clavicle Fracture; Clavicle Injury

Treatments: Procedure: WALLANT

Study type: Interventional

Funder types: Other

Identifiers

NCT06106399

WALANT-CPB in clavicle surgery

Details and patient eligibility

About

The clavicle is frequently fractured bone. regional anesthesia (RA) for clavicle surgery is always challenging due t complex innervation from the two plexuses (cervical and brachial). various RA techniques described for clavicle surgery include plexus blocks, fascial plane blocks,and truncal blocks.

Full description

Clavipectoral Fascial Plane Block (CPB) is most commonly used as an anesthesia and postoperative analgesia technique to clavicle surgery.

This study is deigned to evaluate the feasibility of wide awake local anesthesia no tourniquet (WALANT) technique as a sole anesthesia in clavicle surgery, clavipectoral (CVP) fascia plane block + superficial cervical plexus plane block (CPB) as a sole anesthesia technique in clavicle surgery by using intraoperative verbal rating score (VRS) to determine how many patients need analgesia, sedation or convert to general anesthesia (GA), and postoperative assessment of patient satisfaction and 24 hour postoperative opioid consumption.

Enrollment: 42 estimated patients

Sex: All

Ages: 21 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American society of anesthesiologists (ASA) 1,2
• Unilateral clavicle fracture.

Exclusion criteria

• psychologically unstable patient.
• uncooperative patient.
• patient refusal to be awake during surgery.
• allergy.
• infection at site of infection.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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42 participants in 2 patient groups

WALLANT (group 1)

Active Comparator group

Description:

wide awake local anesthesia and no tourniquet (WALLANT)

Treatment:

Procedure: WALLANT

CPB (group 2)

Active Comparator group

Description:

clavipectoral fascia plane block combined with superficial cervical plexus block (CPB)

Treatment:

Procedure: WALLANT