Anesthesia Clinical Trial
Official title:
A Prospective, Randomized Comparison Between Single and Double Injection Ultrasound-Guided Axillary Brachial Plexus Block
The investigators conducted this prospective, randomized, observer-blinded, non-inferiority trial to compare single perivascular injection to double injection (musculocutaneous nerve and perivascular injection) US guided axillary brachial plexus block.
The investigators have been challenged by the question of whether all a single injection may
be enough to successfully perform a axillary plexus block.
Three hundred and twenty patients undergoing elective hand surgery under axillary brachial
plexus block will be enrolled into this prospective, randomized, observer-blinded non
inferiority trial. Using a computer-generated sequence of random numbers and sealed envelope
technique, the patients included will randomly be allocated to receive either single or
double injection ultrasound-guided axillary block. The block will be performed with the
in-plane technique using a 22 gauge, 50 mm needle and a high frequency linear probe.
In the 2 injection group, the needle will initially be advanced toward musculocutaneous
nerve and 7 ml of LA (lidocaine 1.5% with epinephrine 5µg/ml) will be deposited around the
nerve. The needle will be then advanced until the tip will be positioned just dorsal to the
artery and 28 ml of (lidocaine 1.5% with epinephrine 5µg/ml) will be deposited in this
location. In the single injection group using the same LA, and 35 ml will be deposited
dorsal the artery.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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