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Comparative Study of Incidence of Hemidiaphragmatic paralysis in two approaches of ultrasound guided Brachial plexus block: Supraclavicular and Costoclavicular

Incidence of Hemidiaphragmatic Paralysis in Brachial Plexus Block with Supraclavicular approach versus Costoclavicular approach in patients undergoing upper limb surgery- A Prospective Randomized Comparative Study - nil

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/04/084254
Enrollment
70
Registered
2025-04-07
Start date
Unknown
Completion date
Unknown
Last updated
2025-04-28

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: Incidence of Hemidiaphragmatic Paralysis in Brachial Plexus Block with costoclavicular approach using 25 ml of 0.75% ropivacaine + 2% lignocaine in 1:1 ratio : Costoclavicular block usi

Sponsors

Sanjay Gandhi Postgraduate Institute of Medical Sciences Lucknow Uttar Pradesh India
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Patients willing to give written and informed consent Age group: 18- 65 years Both genders American Society of Anaesthesiologists (ASA) physical status I or II patients Scheduled for upper limb surgeries (including elbow, forearm, hand, and wrist surgery)

Exclusion criteria

Exclusion criteria: Patient refusal BMI more than 30kg/m2 Hypersensitivity to local anaesthetics Pre-existing neuropathy on surgical limb Significant pulmonary disease Coagulopathy, sepsis, infection on block site Conversion to general anaesthesia

Design outcomes

Primary

MeasureTime frame
Incidence of hemidiaphragmatic paralysis in brachial plexus block with supraclavicular vs costoclavicular approachTimepoint: 25 minutes

Secondary

MeasureTime frame
1. To assess pulmonary function before & after the block using spirometer, breath holding test & cough test 2. To assess scan time & needle time in minutes in two approaches 3. To assess post operative pain using numerical rating scale 4. Time to first rescue analgesia 5. Any adverse events/ complications will be notedTimepoint: 24 hours

Countries

India

Contacts

Public ContactDr Prateek Singh Bais

Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow

dr.prashansa03@gmail.com7017819263

Outcome results

None listed

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