Tissue Perfusion for Different Approaches of Brachial Plexus Block

Regional Anesthesia Clinical Trial

Official title:

Effect of Different Approaches of Infraclavicular Brachial Plexus Block on Tissue Perfusion: A Randomized Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04764591
• Other study ID #: 2020/24-10
• Status: Completed
• Phase: N/A
• Start date: January 1, 2022
• Est. completion date: December 1, 2022

Study information

• Verified date: February 2024
• Source: Zonguldak Bulent Ecevit University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

To compare the two different approaches of infraclavicular brachial plexus block in forearm, wrist and hand surgery in terms of perfusion index, tissue oxygenation, sensory and motor block onset time and total effect time, first analgesic time, side effects and complications, and duration of block application.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: December 1, 2022
• Est. primary completion date: December 1, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• patients who undergo elective forearm or hand surgery under infraclavicular brachial plexus block

• American Society of Anesthesiologists class 1 to 3

• Ability to consent

Exclusion Criteria:

• History of allergic reaction to local anaesthetics

• Peripheral neuropathy

• Renal or hepatic insufficiency

• Coagulation disorders

Related Conditions & MeSH terms

• Brachial Plexus Blocks
• Perfusion Index
• Regional Anesthesia
• Tissue Perfusion
• Upper Extremity Fracture

Intervention

Other:
• Lateral sagittal approach
Lateral sagittal approach for ultrasound guided infraclavicular brachial plexus block
• Costoclavicular approach
Costoclavicular approach for ultrasound guided infraclavicular brachial plexus block

Locations

Country	Name	City	State
Turkey	Zonguldak Bülent Ecevit University Medicine Faculty	Zonguldak	Kozlu

Sponsors (1)

Lead Sponsor	Collaborator
Zonguldak Bulent Ecevit University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	perfusion index	the effect of the block on the perfusion index	up to motor block scale =3
Primary	tissue oxygenation	the effect of the block on the tissue oxygenation	up to motor block scale =3
Secondary	motor block onset time	quality of motor block scale =2	Assessed 40 minutes after block completion
Secondary	sensorial block onset time	quality of sensorial block scale =2	up to 24 hours
Secondary	complications	block related complications such as pneumothorax, vascular injury, local anesthetic systemic toxicity	up to 24 hours
Secondary	duration of block application	from the needle puncture to the end of the local anesthetic injection	during the intervention