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Comparing the incidence of diaphragmatic paralysis in two types of block-supraclavicular block(above the clavicle) and costoclavicular block(below the clavicle)

A Randomised controlled trial of comparative study of the incidence of ipsilateral hemidiaphragmatic paresis after supraclavicular and costoclavicular brachial plexus block

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2022/11/047593
Enrollment
60
Registered
2022-11-23
Start date
Unknown
Completion date
Unknown
Last updated
2023-01-09

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

Conditions

Health Condition 1: U072- COVID 19 virus not identified Health Condition 2: O- Medical and Surgical

Interventions

Intervention1: GROUP A:SUPRACLAVICULAR BLOCK : GROUP A-SUPRACLAVICULAR BLOCK WITH 30ml OF 0.5% ROPIVACAINE given under USG guidence by using 22G needle until the drug surrounds all the 3 cords of brac

Sponsors

Vijayanagar Institute of Medical Science
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1)Patients of 18-60 years of age, of either sex posted for(elective/emergency) upper limb surgery. 2)ASA physical status 1,2 3)Patients with normal cardiorespiratory function.

Exclusion criteria

Exclusion criteria: 1)Refusal by patients for the procedure. 2)Known/suspected allergy to local anaesthetics. 3)Pregnant patients 4)Patients with body mass index more than 35kg/m2 5)Patients with neuromuscular disease 6)Patients with obstructive or restrictive pulmonary disease. 7)Patients with known/suspected phrenic nerve palsy or diaphragmatic dysfunction, other medical or anatomical contraindication to brachial plexus blockade. 8)Patients with deranged coagulation profile or having bleeding diathesis. 9)Evidence of local infection at the site of block 10)Patients with family history of neural disease. 11)Patients with opiod consumptions preoperatively.

Design outcomes

Primary

MeasureTime frame
Incidence of Hemidiaphragmatic paralysis by M mode ultrasound,and measuring diaphragmatic excursion and peak expiratory flow rateTimepoint: M mode ultrasound at 10 minutes interval after complete motor block and PEFR at 10 minutes interval—

Secondary

MeasureTime frame
Onset, duration and quality of blockade.Timepoint: At 15-30 minutes we assess sensory blockade in the Musculocutaneous(lateral forearm),radial(dorsal hand),median(thenar eminence) and ulnar(hypothenar eminence) distributions with respect to temperature, pressure and touch through Validated 3 point scale.—

Countries

India

Contacts

Public ContactDEEKSHA P

Vijayanagara institute of medical science Bellary

drsrinivasd@gmail.com9845224880

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026