Comparison of the two techniques of Costoclavicular block used for pain relief after hand surgery in children

Comparison of Ultrasound guided out-of-plane vs in-plane Costoclavicular block approach in children undergoing unilateral upper extremity surgery- A Randomized Controlled Trial

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2024/11/077084

Enrollment

Registered

2024-11-20

Start date

Unknown

Completion date

Unknown

Last updated

2026-06-01

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

Conditions

Health Condition 1: M249- Joint derangement, unspecified

Interventions

Intervention1: IP-In plane approach of costoclavicular block : IP-Under USG guidance 0.3 mL/kg of 0.2% ropivacaine injected after intermittent negative aspiration for blood for costoclavicular block

Eligibility

Inclusion criteria

Inclusion criteria: 1. Children between 2 to 10 years of age 2. Scheduled for unilateral surgery of elbow, forearm, wrist or hand under general anesthesia 3. ASA physical status I/II

Exclusion criteria

Exclusion criteria: 1. Patients requiring simultaneous contralateral upper extremity surgery or skin/bone grafting 2. Preexisting neurological deficit 3. History of previous surgery or trauma at the block area 4. Local site infection 5. H/O known allergy to local anaesthetics 6. Bleeding diathesis 7. Refusal of consent/assent 8. ASA physical status III/IV

Design outcomes

Primary

Measure	Time frame
To compare the mean needling time in out-of-plane and in-plane approaches of ultrasound guided costoclavicular brachial plexus block for upper limb surgeries in paediatric patients aged 2 to 10 years. Timepoint: At time points 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15 minutes during the performance of ultrasound guided costoclavicular block	—

Secondary

Measure	Time frame
To compare the ease of needling between the two groups Timepoint: At time points 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15 minutes during performance of ultrasound guided costoclavicular block ;To compare number of skin punctures between the two groupsTimepoint: At time points 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15 minutes during performance of ultrasound guided costoclavicular block ;To compare the number of needle manipulations to obtain a complete local anaesthetic spread between the two groupsTimepoint: At time points 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15 minutes during performance of ultrasound guided costoclavicular block ;To compare the success rate that is absence of increase in heart rate or blood pressure more than 20 percent from baseline during skin incision between the two groupsTimepoint: At time points 15,20,25,30 minutes during performance of ultrasound guided costoclavicular block ;To compare the postoperative pain scores between the two groupsTimepoint: In PACU on arrival,5mins,30mins,2hrs,6hrs after arrival to the postoperative room;To compare the duration of postoperative analgesia between the two groupsTimepoint: In PACU at time points 15,30,45,60,75,90 minutes & every 15 minutes till 6hrs postoperatively.;To compare the complications between the two groupsTimepoint: At time points 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15 minutes during performance of costoclavicular block through intraoperative period,in postoperative period every 15minutes till 6hrs.	—

Measure

Time frame

To compare the ease of needling between the two groups Timepoint: At time points 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15 minutes during performance of ultrasound guided costoclavicular block ;To compare number of skin punctures between the two groupsTimepoint: At time points 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15 minutes during performance of ultrasound guided costoclavicular block ;To compare the number of needle manipulations to obtain a complete local anaesthetic spread between the two groupsTimepoint: At time points 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15 minutes during performance of ultrasound guided costoclavicular block ;To compare the success rate that is absence of increase in heart rate or blood pressure more than 20 percent from baseline during skin incision between the two groupsTimepoint: At time points 15,20,25,30 minutes during performance of ultrasound guided costoclavicular block ;To compare the postoperative pain scores between the two groupsTimepoint: In PACU on arrival,5mins,30mins,2hrs,6hrs after arrival to the postoperative room;To compare the duration of postoperative analgesia between the two groupsTimepoint: In PACU at time points 15,30,45,60,75,90 minutes & every 15 minutes till 6hrs postoperatively.;To compare the complications between the two groupsTimepoint: At time points 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15 minutes during performance of costoclavicular block through intraoperative period,in postoperative period every 15minutes till 6hrs.

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Countries

India

Contacts

Public ContactRajashree Deka

All India Institute of Medical Sciences

shreyabs@hotmail.com9892652781

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Jun 11, 2026