Clavipectoral Fascial Plane Block Versus Superficial Cervical Block in Fracture Clavicle

Fracture Clavicle Clinical Trial

Official title:

Ultrasound-guided Clavipectoral Fascial Plane Block Versus Ultrasound-guided Superficial Cervical Plexus Block in Patients Undergoing Fracture Clavicle Operation

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05881473
• Other study ID #: fracture clavicle
• Status: Completed
• Phase: N/A
• Start date: June 1, 2023
• Est. completion date: September 20, 2023

Study information

• Verified date: October 2023
• Source: Ain Shams University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Ultrasound-guided Clavipectoral fascial plane block versus ultrasound-guided superficial Cervical plexus block in patients undergoing fracture clavicle operation

Description:

The clavipectoral fascial plane block (CPB) is a novel regional anesthesia technique that has been utilized for clavicular fracture surgery. It has been hypothesized that the CPB is an effective regional anesthesia technique for peri-operative analgesia since the terminal branches of many of the sensory nerves like suprascapular, subclavian, lateral pectoral, and long thoracic nerves pass through the plane between the clavipectoral fascia and the clavicle itself.

The ultrasound-guided superficial cervical plexus (SCP) block may be useful for providers in emergency care settings who care for patients with ear, neck, and clavicular region injuries, including clavicle fractures and acromioclavicular dislocations. The SCP originates from the anterior rami of the C1-C4 spinal nerves and gives rise to 4 terminal branches (greater auricular, lesser occipital, transverse cervical, and suprascapular nerves) that provide sensory innervation to the skin and superficial structures of the anterolateral neck and sections of the ear and shoulder.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 84
• Est. completion date: September 20, 2023
• Est. primary completion date: September 1, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 21 Years to 60 Years

Eligibility

Inclusion Criteria:

1. Age from 21 to 60 years

2. Both gender

3. Isolated fracture clavicle.

4. ASA classification 1 & 2

Exclusion Criteria:

1. Polytrauma patients with multiple fractures.

2. Hemodynamically unstable patients.

3. Patients with infection at the injection site.

4. Refusal of patients.

5. Patients with disturbed anatomical plane.

6. Patients with a known history of allergy to local anesthetic will be used.

Related Conditions & MeSH terms

• Fracture Clavicle
• Fractures, Bone

Intervention

Diagnostic Test:
• pain assessment after clavicular fracture repair
This group includes (40) patients will have medial and lateral clavipectoral (CPB) block ultrasound guided using 20 ml Bupivacaine 0.5% for medial and lateral block equally after induction of general anesthesia.

Locations

Country	Name	City	State
Egypt	Ain Shams University	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Ain Shams University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	visual analogue score (VAS score) post operative	change in visual analogue score (VAS score) to assess pain post operative described as 10= the sever pain and zero = no pain	starting at the recovery room then every 2 hours for 8 hours post operatively
Secondary	hemodynamics	Heart rate	every 2 hours for 8 hours
Secondary	hemodynamics	mean arterial blood pressure	every 2 hours for 8 hours