Comparison of Costoclavicular Brachial Plexus Block and Supraclavicular Brachial Plexus Block

Phrenic Nerve Paralysis Clinical Trial

— BPB  

Official title:

Comparison of Costoclavicular Brachial Plexus Block and Supraclavicular Brachial Plexus Block

Clinical Trial Details — Status: Withdrawn

Administrative data

• NCT number: NCT03097159
• Other study ID #: 106421
• Status: Withdrawn
• Start date: May 1, 2017
• Est. completion date: March 31, 2018

Study information

• Verified date: July 2018
• Source: Ajou University School of Medicine
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The investigator will compare Costoclavicular approach of infraclavicular block and supraclavicular block. Especially, the incidence of phrenic nerve palsy and the quality of block.

Description:

Costoclavicular brachial plexus block is a recently developed approach of infraclavicular brachial plexus block. Using ultrasound, all of 3 cords are well visible in single plane. Compared to conventional infraclavicular block, it needs smaller amount of local anesthetics.

Supraclavicular brachial plexus block is known as spinal anesthesia of upper extremities. It provides fast and good quality of anesthesia and analgesia. But some studies showed that there are over 50% of phrenic nerve palsy in supraclavicular block.

In this study, the investigator will compare phrenic nerve palsy incidence and block quality between Costoclavicular block and supraclavicular block using ultrasound.

Recruitment information / eligibility

• Status: Withdrawn
• Enrollment: 0
• Est. completion date: March 31, 2018
• Est. primary completion date: March 31, 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 19 Years to 65 Years

Eligibility

Inclusion Criteria:

• ASA I or II

• Scheduled for surgery of hand or forearm

Exclusion Criteria:

• Patient refusal

• Neuromuscular disease

• Pregnancy

• Previous history of surgery of periclavicular region

• Nerve injury history

• Bleeding tendency

• Allergy to local anesthetics

• Other contraindication of regional anesthesia

Related Conditions & MeSH terms

• Paralysis
• Phrenic Nerve Paralysis

Intervention

Procedure:
• Costoclavicular block
Group C for costoclavicular block Group S for supraclavicular block

Locations

Country	Name	City	State
Korea, Republic of	Ajou university school of medicine	Suwon	Gyeonggi-do

Sponsors (1)

Lead Sponsor	Collaborator
Ajou University School of Medicine

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Diaphragm palsy	Using M-mode of ultrasound, compare diaphragm movement pre-block and 30min after block Paralysis : reduced movement more than 75% or paradoxical movement on sniffing Paresis : 25~75% movement Normal : reduced less than 25%	30 min