Comparison between two methods of regional anaesthesia for below elbow surgeries.

A PROSPECTIVE, COMPARATIVE STUDY OF ULTRASOUND AND PERIPHERAL NERVE STIMULATOR GUIDED BRACHIAL PLEXUS BLOCK BY AXILLARY OR MID HUMERAL APPROACH FOR DISTAL UPPER LIMB SURGERIES. - Mid Humeral versus Axillary block

Status

Active, not recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2026/03/105741

Enrollment

128

Registered

2026-03-10

Start date

Unknown

Completion date

Unknown

Last updated

2026-03-30

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: N19- Unspecified kidney failure

Interventions

Intervention1: Mid Humeral block: After sedation, patients are placed supine with the arm abducted to 90 degrees and bent at elbow at 90 degrees with the forearm supinated on the surgery table. The ul

Eligibility

Inclusion criteria

Inclusion criteria: ASA I to IV patients of scheduled for elective hand ,wrist and forearm surgeries. Patients of age 18 and above Patients on anticoagulants who meet the ASRA guidelines for peripheral nerve block.

Exclusion criteria

Exclusion criteria: Allergy to local anaesthetics Bleeding and Clotting disorders Lymphatic disorders like lymphangitis of the arm, history of axillary lymph node dissection and large hematomas in the elbow Infection at the planned injection site Peripheral neurological disease Inability to comprehend study related procedure

Design outcomes

Primary

Measure	Time frame
To compare the efficacy of ultrasound and peripheral nerve stimulator guided brachial plexus block given by mid- humeral or axillary approach in patients posted for distal upper limb surgeries in terms of Success rate - the percentage of patients in each group in which there is complete sensory block at 15 minutes after the performance of the block. Post operative pain using VAS [visual analog scale] score .Timepoint: 15mins	—

Measure

Time frame

To compare the efficacy of ultrasound and peripheral nerve stimulator guided brachial plexus block given by mid- humeral or axillary approach in patients posted for distal upper limb surgeries in terms of Success rate - the percentage of patients in each group in which there is complete sensory block at 15 minutes after the performance of the block. Post operative pain using VAS [visual analog scale] score .Timepoint: 15mins

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Secondary

Measure	Time frame
To compare ultrasound and peripheral nerve stimulator guided brachial plexus block given by mid- humeral or axillary approach in patients posted for distal upper limb surgeries in terms of Time to perform the block.Timepoint: 15mins;To compare ultrasound and peripheral nerve stimulator guided brachial plexus block given by mid- humeral or axillary approach in patients posted for distal upper limb surgeries in terms of Onset time of sensory and motor block Timepoint: 15mins;Patient and surgeon satisfaction using a 5-point Likert scale Timepoint: 15mins;To compare ultrasound and peripheral nerve stimulator guided brachial plexus block given by mid- humeral or axillary approach in patients posted for distal upper limb surgeries in terms of To assess complications (vascular puncture, hematoma, nerve injury, local anesthetic systemic toxicity) Timepoint: 15mins	—

Measure

Time frame

To compare ultrasound and peripheral nerve stimulator guided brachial plexus block given by mid- humeral or axillary approach in patients posted for distal upper limb surgeries in terms of Time to perform the block.Timepoint: 15mins;To compare ultrasound and peripheral nerve stimulator guided brachial plexus block given by mid- humeral or axillary approach in patients posted for distal upper limb surgeries in terms of Onset time of sensory and motor block Timepoint: 15mins;Patient and surgeon satisfaction using a 5-point Likert scale Timepoint: 15mins;To compare ultrasound and peripheral nerve stimulator guided brachial plexus block given by mid- humeral or axillary approach in patients posted for distal upper limb surgeries in terms of To assess complications (vascular puncture, hematoma, nerve injury, local anesthetic systemic toxicity) Timepoint: 15mins

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Countries

India

Contacts

Public ContactDr Sumati Dhembre

Lokmanya Tilak Municipal Medical College Sion Mumbai

sumatidhembre2024@gmail.com9112323312

Outcome results

None listed

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