Periarterial Injection Versus Multiple Periveural Injection

Contusion Wrist or Hand Clinical Trial

Official title:

The Ultrasound Guided Periarterial Injection Technique To Axilary Brachial Plexus Block Versus Perineural Multiple InjectionTechnique

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02429141
• Other study ID #: NAICE-001
• Status: Completed
• Phase: N/A
• First received: April 19, 2015
• Last updated: August 26, 2016
• Start date: January 2015
• Est. completion date: June 2016

Study information

• Verified date: August 2016
• Source: North American Institute for Continuing Medical Education (NAICE)
• Contact: n/a
• Is FDA regulated: No
• Health authority: Belgium: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

In the transarterial technique for axillary brachial plexus block, the axillary artery is intentionally punctured to indicate placement of the needle within the neurovascular sheath; local anesthetic is then injected deep and superficial to the axillary artery.

Description:

To lessen the risk for hematoma and intravascular injection, several modifications, such as the multi-injection perineural technique, have become popular. These techniques require a high degree of technical skill and multiple needle passes, and also carry potential for injury. In this study, the investigators will compare an ultrasound-guided equivalent of the transarterial technique (periarterial injections) to a commonly used multi-injection perineural technique.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50
• Est. completion date: June 2016
• Est. primary completion date: January 2016
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 90 Years

Eligibility

1. Inclusion criteria:

• Patients (ASA physical status I-III) scheduled to undergo hand or wrist surgery under axillary brachial plexus block

2. Exclusion criteria:

• Patients with pre-existing neuropathy

• Patients with allergy to local anesthetics

• Patients with prior surgery in the ipsilateral axilla

• Pregnant patients

• Patients with difficulties in communication

Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Contusion Wrist or Hand
• Contusions
• Crush Injury Wrist or Hand

Intervention

Procedure:
• US-guided periarterial techique
The needle will be inserted in the axillary fossa in-plane (cranial to caudal) close to the intersection of the pectoralis and biceps muscles. Two separate injections of local anesthetic will be made deep and superficial to the axillary artery
• US-guided multi-injection technique
The median, ulnar and radial nerves will be identified by ultrasound. Local anesthetic will be injected adjacent to each nerve

Locations

Country	Name	City	State
Belgium	Department of Anesthesiology Ziekenhuis Oost-Limburg	Genk

Sponsors (1)

Lead Sponsor	Collaborator
North American Institute for Continuing Medical Education (NAICE)

Country where clinical trial is conducted

Belgium, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Block procedure time for the axillary brachial plexus block		time of the block achievement will be recorded up to 15 minutes	No
Secondary	Onset of the block		outcome measure will be measured up to 30 minutes a	No
Secondary	Time to request pain medication		participants will be followed for 3 days	No
Secondary	Block success rate		participants success or block failure within 24 hours	No