Lateral Sagittal vs Costoclavicular Brachial Plexus Block in Children

Hand Injuries and Disorders Clinical Trial

Official title:

The Comparison of Lateral Sagittal vs Costoclavicular Brachial Plexus Block in Children

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04215614
• Other study ID #: LS vs Costo BPB Pediatric
• Status: Completed
• Phase: N/A
• Start date: January 2, 2020
• Est. completion date: April 10, 2020

Study information

• Verified date: April 2020
• Source: Ataturk University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Costoclavicular approach has lots of advantages compared to the lateral sagittal approach for infraclavicular brachial plexus block. Although the efficacy of this block has been demonstrated in adults, there are no randomized controlled trials in the literature on the application of pediatric patients. Our aim was to compare the ultrasound-guided infraclavicular and costoclavicular approach in pediatric patients.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: April 10, 2020
• Est. primary completion date: April 3, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 5 Years to 15 Years

Eligibility

Inclusion Criteria:

• American Society of Anesthesiologist's physiologic state I-II patients

• Patients who will undergo hand or forearm surgery

Exclusion Criteria:

• Infection in the area to be injected

• Coagulopathy,

• Previously known neurological damage

Related Conditions & MeSH terms

• Forearm Injuries
• Hand Injuries
• Hand Injuries and Disorders
• Wounds and Injuries

Intervention

Drug:
• Lidocaine and Bupivacaine solution
1:1 ratio 2% lidocaine, and 0.5% bupivacaine

Device:
• Costoclavicular block
Ultrasound-guided costoclavicular brachial plexus block
• Lateral Sagittal block
Ultrasound-guided lateral sagittal brachial plexus block

Locations

Country	Name	City	State
Turkey	Ataturk University	Erzurum

Sponsors (1)

Lead Sponsor	Collaborator
Ataturk University

Country where clinical trial is conducted

Turkey, 

References & Publications (2)

Songthamwat B, Karmakar MK, Li JW, Samy W, Mok LYH. Ultrasound-Guided Infraclavicular Brachial Plexus Block: Prospective Randomized Comparison of the Lateral Sagittal and Costoclavicular Approach. Reg Anesth Pain Med. 2018 Nov;43(8):825-831. doi: 10.1097/AAP.0000000000000822. — View Citation

Yayik AM, Cesur S, Öztürk F, Celik EC, Ahiskalioglu A. Ultrasound guided costoclavicular approach to brachial plexus: First pediatric report. J Clin Anesth. 2019 Aug;55:136-137. doi: 10.1016/j.jclinane.2019.01.008. Epub 2019 Jan 15. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Block performance time	The time interval between the contact of the ultrasound probe to skin and end of local anesthetics injection.	Twenty minutes before surgery
Secondary	Visual analog pain score	Pain will be evaluated with a Visual Analogue Scale (VAS) score of 0-10 (0= no pain and 10= worst imaginable pain)	Postoperative 24 hours