To evaluate hemidiaphragmatic Paralysis after costoclavicular brachial plexus block through ultrasound

Ultrasonographric evaluation of Hemidiaphragmatic paralysis following costoclavicular approch to brachial plexus block : A prospective observational study - NIL

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2025/02/080388

Enrollment

Registered

2025-02-12

Start date

Unknown

Completion date

Unknown

Last updated

2025-03-03

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 Health Condition 2: S59- Other and unspecified injuries ofelbow and forearm

Interventions

Intervention1: Costoclavicular Brachial Plexus Block: USG Guided Costoclavicular block is given with local anesthetic Drug & incidences of ipsilateral Hemidiphragmatic paralysis is observed with the

Eligibility

Inclusion criteria

Inclusion criteria: 1. Patients aged 18 years and above 2. American Society of Anesthesiology (ASA) physical status 1-3 3. Patient scheduled for upper limb (including elbow, forearm, hand and wrist) surgeries under ultrasound guided CCB 4. Patients with no distal neurovascular deficit

Exclusion criteria

Exclusion criteria: 1. Patient refusal 2. Infection at the puncture site/ distorted anatomy of the supraclavicular region / burns 3. Allergic to local anesthetic drugs 4. Significant pulmonary disease in which respiratory compromise can be expected in case of HDP 5. Coagulopathy, sepsis 6. Pregnant patients 7. Contra-lateral diaphragmatic paralysis

Design outcomes

Primary

Measure	Time frame
To calculate the incidence of Ipsilateral hemi-diaphragmatic paralysis using ultrasonography after administration of us guided costoclavicular approach to Brachial plexus block. Timepoint: immediately after block , 20 min after block & post surgery	—

Secondary

Measure	Time frame
1) Effect of different volumes of local Anesthetic used for costoclavicular brachial plexus block on hemi-diaphragmatic paralysis 2) Effect of different local anesthetics (Ropivacaine/ Bupivacaine/levobupivacaine) used for block on diaphragmatic paralysis 3) Operator satisfaction using the two diaphragm assessment techniquesTimepoint: immediately after block , 20 min after block & post surgery	—

Countries

India

Contacts

Public ContactDr Devangi Parikh

Lokmanya Tilak Municipal Medical College & sion Hospital , sion , mumbai

sdevangi10@gmail.com9820471638

Outcome results

None listed

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