Using Ultrasound in Infraclavicular in Upper Limb Surgeries

Minia University

Status: Completed

Conditions: Upper Limb Surgeries

Treatments: Procedure: Infraclavicular brachial plexus block

Study type: Interventional

Funder types: Other

Identifiers

NCT05240729

53:2021

Details and patient eligibility

About

Comparison of 3 approach of infraclavicular brachial plexus

Full description

Comparison of retroclavicular & costoclavicular and classic type of infraclavicular brachial plexus block for upper limb surgeries

Enrollment: 60 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age: between 18 and 60 years ASA I and II BMI between 18 and 35 surgeries to forearm and hand

Exclusion criteria

• patient refusal pregnancy allergy to local anaesthetics local infection neuropathy ,coagulopathy anatomical abnormality in clavicular region

Trial design

Primary purpose: Other

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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60 participants in 3 patient groups

Retroclavicular

Active Comparator group

Description:

Retroclavicular approach to the infraclavicular region, the probe will be placed below and perpendicular to the clavicle, in a paramedian sagittal plane, medial to the coracoid process, to obtain a short-axis view of the cords of the brachial plexus and the axillary vessels. The needle will then be inserted in the supraclavicular fossa, approximately 1 cm posteriorly to the clavicle, and advanced in plane and strictly parallel to the ultrasound transducer. After passing the initial blind zone of about 2 cm caused by the acoustic shadow of the clavicle, the needle tip will be constantly seen, until it will be positioned posterior to the axillary artery.

Treatment:

Procedure: Infraclavicular brachial plexus block

Costoclavicular

Active Comparator group

Description:

A new approach to the infraclavicular block The ultrasound transducer will be placed parallel and inferior to the clavicle and angled cephalad to optimize the ultrasound view. The block needle will be inserted in-plane from a lateral to medial direction into the costoclavicular space and the entire drug will be deposited in this location

Treatment:

Procedure: Infraclavicular brachial plexus block

Classic

Active Comparator group

Description:

Infraclavicular brachial plexus block (ICPB) ultrasound probe will be placed near the lower edge of the clavicle, and a transverse view of the subclavian artery and vein will be visualized. Using a needle guide, the needle will be advanced under real-time ultrasound guidance, and local anaesthetic will be injected near the subclavian artery, 15 mm medially and 15 mm laterally to the artery. The extent of sensory and motor block will be evaluated at 30 minutes after the injection

Treatment:

Procedure: Infraclavicular brachial plexus block