A comparison of arm block injection above and below the collar bone for hand surgery

Speed of Onset of Ultrasound Guided Supraclavicular and Infraclavicular Brachial Plexus Block for Ambulatory Hand Surgery

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12608000366358

Enrollment

Registered

2008-07-29

Start date

2008-04-01

Completion date

Unknown

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

To determine whether ultrasound guided supraclavicular block provides more rapid onset of surgical analgesia than infraclavicular block. If the primary hypothesis is confirmed, this study will provide evidence supporting the use of the supraclavicular block for hand surgery. Increased exposure of the techniques may promote their uptake in this setting.

Interventions

Infraclavicular block Infraclavicular (IB) Group The needle will be advanced just posterior to the axillary artery. Following standard intravascular injection precautions, 30mL of 2% lignocaine will then be injected. Supraclavicular(SB) Group The needle will be advanced superficially in a medial direction to just inferior to the brachial plexus cords just lateral to the subclavian artery. Following standard intravascular injection precautions, 30mL of 2% lignocaine will then be injected. The d

Study design

Allocation

Randomised controlled trial

Intervention model

Parallel

Primary purpose

Treatment

Masking

Blinded (masking used)

Eligibility

Sex/Gender

All

Age

0 to No maximum

Healthy volunteers

Yes

Inclusion criteria

Patients requiring anaesthesia for elective minor hand surgery under the care of the principal investigator

Exclusion criteria

1. Patient refusal/inability to consent 2. Allergy amide LA drugs 3. Existing neurological disorders, neuropathy of the operative extremity 4. Infection at site of needle puncture

Outcome results