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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02657291
Other study ID # LawsonHRI
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date December 2015
Est. completion date December 2017

Study information

Verified date January 2021
Source Lawson Health Research Institute
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Patients for upper limb surgeries who are candidates for infraclavicular block will be screened. Two techniques of infraclavicular block will be compared. Measured outcomes are performance times, block onset times, patient satisfaction, quality of block, and requirement for supplementary analgesia.


Description:

Infraclavicular brachial plexus block under ultrasound guidance is used for surgeries on the upper limb. Traditionally, the block is performed at the lateral infraclavicular fossa where the cords are variable in position relative to the axillary artery. A recently introduced technique is the costoclavicular approach where the cords are viewed as relatively more superficial and clustered together compared to the traditional technique. Those meeting the inclusion criteria and will consent to participate in the study will be randomized to have either an infraclavicular block in the paracoracoid approach (Group 1) or an infraclavicular block in the costoclavicular approach (Group 2). All groups will have the same injectable volume (35 mls) and local anesthetic concentration (ropivacaine 0.5%). There will be 35 study patients for each group for a total of 70 patients.


Recruitment information / eligibility

Status Completed
Enrollment 70
Est. completion date December 2017
Est. primary completion date December 2017
Accepts healthy volunteers No
Gender All
Age group 18 Years to 80 Years
Eligibility Inclusion Criteria: - Ambulatory elective surgery of the upper limb - ASA (American Society of Anesthesiologists physical status classification system) 1-4 - Suitable for procedure to be carried out under infraclavicular block Exclusion Criteria: - Inability to give informed consent, Allergy to local anesthetics, morphine or fentanyl - Ongoing major medical or psychiatric problems - Narcotic abuse - Peripheral neuropathy or major neurological problems - Scarring in area of blockade - Inability to co-operate with post-operative evaluation - Major coagulopathy - Pregnancy and breast-feeding - Women of childbearing age who are not taking adequate contraceptive precautions

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Ropivacaine
Local anesthetic
Device:
Ultrasound
Ultrasound guided block

Locations

Country Name City State
Canada St. Joseph's Hospital London Ontario

Sponsors (1)

Lead Sponsor Collaborator
Lawson Health Research Institute

Country where clinical trial is conducted

Canada, 

References & Publications (4)

Acar S, Gürkan Y, Solak M, Toker K. Coracoid versus lateral sagittal infraclavicular block. Acta Orthop Traumatol Turc. 2013;47(1):32-7. — View Citation

Bigeleisen P, Wilson M. A comparison of two techniques for ultrasound guided infraclavicular block. Br J Anaesth. 2006 Apr;96(4):502-7. Epub 2006 Feb 24. — View Citation

Karmakar MK, Sala-Blanch X, Songthamwat B, Tsui BC. Benefits of the costoclavicular space for ultrasound-guided infraclavicular brachial plexus block: description of a costoclavicular approach. Reg Anesth Pain Med. 2015 May-Jun;40(3):287-8. doi: 10.1097/AAP.0000000000000232. — View Citation

Mosaffa F, Gharaei B, Rafeeyan M, Gachkar L. Comparing vertical and coracoid approaches for infraclavicular block in orthopedic surgery of the forearm and hand. J Clin Anesth. 2012 May;24(3):196-200. doi: 10.1016/j.jclinane.2011.07.013. Epub 2012 Apr 5. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Block onset time From the time needle is removed from the patient's skin up to the time when block is considered adequate for surgery 1 hour
Secondary Procedure duration From the time the US probe touches the skin to the time the needle is removed 1 hour
Secondary Quality of block 1 hour
Secondary Patient satisfaction Satisfaction score (VAS ranging from 0 = completely dissatisfied to 10 = completely satisfied) 1 day
Secondary Requirement for supplemental analgesia or anesthesia Quality of block will be assessed if adequate for surgery 1 day
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