Elbow Surgery, Forearm Surgery, Hand Surgery, Wrist Surgery
Conditions
Keywords
forearm, hand, elbow, wrist, brachial plexus, infraclavicular block
Brief summary
Does ultrasound increases the success rate and if there is a difference in success rate between placing the local anesthetic centrally versus peripherally.
Detailed description
A comparison of the infraclavicular placement of local anesthetic either centrally (posterior cord) vs peripheral placement (lateral or medial cord) using ultrasound guidance. This will be done to determine if ultrasound increases the success rate and if there is a difference in success rate between placing the local anesthetic centrally versus peripherally.
Interventions
Peripheral placement of local anesthesia
Central placement of local anesthesia
Sponsors
Study design
Eligibility
Inclusion criteria
* American Society of Anesthesiologists (ASA) Class I-III. * Patient is undergoing elective hand or forearm surgery. * Patient is an adult, 18 years old or older.
Exclusion criteria
* Morbid obesity (calculated body mass index \> 35 kg/m2). * Patient unable to cooperate. * Patient with a known brachial plexus injury. * Medical contraindication to anesthetic technique (allergy, cardiac condition, neurologic condition, localized infection, bleeding disorder). * Patients who are pregnant.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| increase success rate of the block to produce surgical anesthesia and analgesia | during and following surgical procedure |
Countries
United States