Comparative Study Between Two Different Approaches of Brachial Plexus Block: Supraclavicular Approach and Retroclavicular Approach

Brachial Plexus Block Clinical Trial

Official title:

Comparative Study Between Two Different Approaches of Brachial Plexus Block: Supraclavicular Approach and Retroclavicular Approach

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05187988
• Other study ID #: Soh-Med-21-11-02
• Status: Completed
• Phase: N/A
• Start date: January 5, 2022
• Est. completion date: September 5, 2022

Study information

• Verified date: September 2022
• Source: Sohag University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

In this study investigators will compare two different approaches of brachial plexus block ;supraclavicular approach and retroclavicular approach regarding success rate, duration of block, complications

Recruitment information / eligibility

• Status: Completed
• Enrollment: 100
• Est. completion date: September 5, 2022
• Est. primary completion date: September 5, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• 100 patients doing distal arm surgery, elective , 18 to 60 years old , will be included in double blinded randomized study.

Exclusion Criteria:

• Patient refusal .

• local infection or deformity at the block site.

• Patient with significant neurological , psychiatric or neuromuscular disease.

• Pregnancy or lactating women .

• Coagulopathy .

• Morbid obesity .

• History of allergy to local anaesthetics

Related Conditions & MeSH terms

• Brachial Plexus Block

Intervention

Procedure:
• supraclavicular brachial plexus block
group will receive brachial plexus block above clavicle,Injection of anaesthetic will be done in brachial plexus around subclavian artery
• Retroclavicular brachial plexus block
group will receive brachial plexus block inferior to the clavicle,injection of anaesthetic will be done around axillary artery

Locations

Country	Name	City	State
Egypt	Sohag University Hospital	Sohag

Sponsors (1)

Lead Sponsor	Collaborator
Sohag University

Country where clinical trial is conducted

Egypt, 

References & Publications (4)

Albrecht E, Mermoud J, Fournier N, Kern C, Kirkham KR. A systematic review of ultrasound-guided methods for brachial plexus blockade. Anaesthesia. 2016 Feb;71(2):213-27. doi: 10.1111/anae.13347. Epub 2015 Dec 16. Review. — View Citation

Charbonneau J, Fréchette Y, Sansoucy Y, Echave P. The Ultrasound-Guided Retroclavicular Block: A Prospective Feasibility Study. Reg Anesth Pain Med. 2015 Sep-Oct;40(5):605-9. doi: 10.1097/AAP.0000000000000284. — View Citation

Grape S, Pawa A, Weber E, Albrecht E. Retroclavicular vs supraclavicular brachial plexus block for distal upper limb surgery: a randomised, controlled, single-blinded trial. Br J Anaesth. 2019 Apr;122(4):518-524. doi: 10.1016/j.bja.2018.12.022. Epub 2019 Jan 31. — View Citation

Yazer MS, Finlayson RJ, Tran DQ. A randomized comparison between infraclavicular block and targeted intracluster injection supraclavicular block. Reg Anesth Pain Med. 2015 Jan-Feb;40(1):11-5. doi: 10.1097/AAP.0000000000000193. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Block success rate	Investigator will compare success rate of both types of block and which one is more likely to be successfully administrated	one year
Primary	Complications	Investigators will compare complications like pneumothorax,nerve injury,bleeding and which one is more likely to cause complications	one year
Primary	Duration of sensory and motor blockade	Time which each procedure will take to block sensory and motor stimuli	one year
Secondary	Duration of procedure	Time which took the investigator to administrate each type of block	one year
Secondary	Number of needle passes	number of times in which needle has entered been entered into the participant in each group	one year