Ultrasound Guided Axillary Brachial Plexus Block Versus Supraclavicular Block in Emergency Crushed Hand Patients

the Study Focuses on Comparing Between Supraclavicular and Axillary Blocks Clinical Trial

Official title:

Ultrasound Guided Axillary Brachial Plexus Block Versus Supraclavicular Block in Emergency Crushed Hand Patients: A Comparative Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03377985
• Other study ID #: FWA 000017585
• Status: Completed
• Phase: N/A
• First received: December 7, 2017
• Last updated: December 17, 2017
• Start date: January 1, 2016
• Est. completion date: December 30, 2016

Study information

• Verified date: December 2017
• Source: Ain Shams University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The current study focused on ultrasound guided brachial plexus block (BPB) which plays an important role in patients with hand trauma either in pain control or for surgical intervention. The brachial plexus can be blocked by several techniques but the most commonly used are the supraclavicular (SCB) and axillary (AXB) blocks. Aim of this study is to compare between the two techniques as regard performance time, needling time, anesthesia related time, block related complications, number of needle pass, and block related pain. 80 patients were allocated randomly into two equal groups, under ultrasound guidance the SCB and AXB were done for the two groups respectively. The needling time, performance time, anesthesia related time, onset time, number of 1st needle pass in each group and block related complications were noted.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 80
• Est. completion date: December 30, 2016
• Est. primary completion date: December 30, 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 40 Years to 70 Years

Eligibility

Inclusion Criteria:

• patients with ASA physical status II and III, and body mass index (BMI) between 20 and 35, aged 40-70, undergoing emergency crushed hand surgery

Exclusion Criteria:

• Patients with significant coagulopathy, infection or trauma at the injection site of local anesthetics, allergy to local anesthetics, refusal to participate, known neuropathies patients, mentally retarded patients, severely trauma patients who required general anesthesia from the start in the pre-induction room, and unconscious patients due to the accident. Also, shocked patients and patients with chronic obstructive airway disease

Related Conditions & MeSH terms

• Emergencies
• the Study Focuses on Comparing Between Supraclavicular and Axillary Blocks

Intervention

Procedure:
• brachial plexus block

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Ain Shams University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	block related complications	failed block, motor weakness 24 h after the block, vascular puncture, Horner syndrome, paresthesia and pneumothorax	24 hours after the block
Secondary	number of first needle pass	how many times the needle is inserted till we can inject local anesthesia in a proper site	10-20 min