A study to compare incidence of hemidiaphragmatic parasis in two regional blocks in surgeries of upper limb.

Comparison of Hemidiaphragmatic Paresis after ultrasoundguided Costoclavicular versus Supraclavicular brachial plexus block in elective upper limb surgeries - A Randomised controlled trial - NIL

Status

Active, not recruiting

Phases

Phase 3Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2024/11/076323

Enrollment

Registered

2024-11-06

Start date

Unknown

Completion date

Unknown

Last updated

2025-08-18

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

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: Ultrasound Guided Costo-Clavicular Block: Injection Ropivacaine 0.5% 20ml 10 minutes prior to surgery Control Intervention1: Ultrasound Guided Supraclavicular Block: Injection Ropivacai

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patient scheduled for elective upper limb surgery 2. ASA class 1,2,3 3. BMI less than 30 kg/m2

Exclusion criteria

Exclusion criteria: 1.Patients unable to cooperate or consent to surgery 2.Preexisting neuropathy 3.Significant pulmonary disease 4.Contralateral phrenic nerve palsy or diaphragmatic dysfunction 5.Allergy to local anaesthetics 6.Infection at needle insertion site

Design outcomes

Primary

Measure	Time frame
To compare the incidence of hemidiaphragmatic paresis between ultrasound guided Supraclavicular brachial plexus block and ultrasound guided Costoclavicular brachial plexus block in elective upper limb surgeries with respect to •Diaphragmatic excursion measurement using M-mode during -Normal breathing, - Deep breathing and -Voluntary sniff manoeuvre.Timepoint: To compare the incidence of hemidiaphragmatic paresis between ultrasound guided Supraclavicular brachial plexus block and ultrasound guided Costoclavicular brachial plexus block in elective upper limb surgeries with respect to •Diaphragmatic excursion measurement using M-mode during -Normal breathing, - Deep breathing and -Voluntary sniff manoeuvre At intervals of 15 minutes and 30 minutes post block	—

Measure

Time frame

To compare the incidence of hemidiaphragmatic paresis between ultrasound guided Supraclavicular brachial plexus block and ultrasound guided Costoclavicular brachial plexus block in elective upper limb surgeries with respect to •Diaphragmatic excursion measurement using M-mode during -Normal breathing, - Deep breathing and -Voluntary sniff manoeuvre.Timepoint: To compare the incidence of hemidiaphragmatic paresis between ultrasound guided Supraclavicular brachial plexus block and ultrasound guided Costoclavicular brachial plexus block in elective upper limb surgeries with respect to •Diaphragmatic excursion measurement using M-mode during -Normal breathing, - Deep breathing and -Voluntary sniff manoeuvre At intervals of 15 minutes and 30 minutes post block

—

Secondary

Measure	Time frame
To compare the block characteristics between ultrasound guided supraclavicular brachial plexus block and ultrasound guided costoclavicular brachial plexus block for elective upper limb surgeries with respect to 1 Block performance time 2 Sensory onset time 3 Motor onset time 4 Total block scoreTimepoint: Patient will be monitored for the above parameters from the time of giving block till 30 mins	—

Countries

India

Contacts

Public ContactAjinkya Kalbande

NKP salve institute of medical sciences and research centre and Lata Mangeshkar Hospital

heenapahuja15@yahoo.com9823188160

Outcome results

None listed

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