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Continuous Infraclavicular Blocks: Neurostimulation Versus Ultrasound

Success Rate of Infra-clavicular Blocks: Comparison of Ultrasound Versus Neurostimulation Guided Catheter Placement

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01136447
Enrollment
210
Registered
2010-06-03
Start date
2010-01-31
Completion date
2013-02-28
Last updated
2017-08-30

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

Conditions

Disorder of Upper Extremity

Keywords

Brachial plexus, Ultrasound

Brief summary

The purpose of this study is to determine whether ultrasound guidance or nerve stimulation is the best option for placing continuous peripheral nerve block catheters for upper limb surgery.

Detailed description

In a multidisciplinary, observer blinded, prospective, single center, randomized study, success rate of US guided versus neurostimulation guided catheter placement for continuous infraclavicular block in patients scheduled for upper limb surgery will be studied. Block effectiveness, time taken, discharge from recovery, postoperative pain and disability and patient acceptance will be studied in 210 patients.

Interventions

PROCEDUREUltrasound

Block catheter will be introduced using ultraosound

Sponsors

The Physicians' Services Incorporated Foundation
CollaboratorOTHER
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Age 18-80 yrs * Weight 40-100 kg * Either sex * Height \>150 cm * American Society of Anesthesiologists physical status 1-3 * Scheduled for hand or elbow surgery under regional anesthesia

Exclusion criteria

* Inability to give informed consent * Refusal of treatment randomization * Language barrier * Allergy to any medications being used in the study protocol * Ongoing major medical or psychiatric problems * Chronic pain or narcotic use/abuse * Peripheral neuropathy or major neurological problems * Scarring in area of blockade * Inability to co-operate with post-operative evaluation * Major coagulopathy * Pregnancy and breast feeding * Patients requiring anesthesia of other surgical sites * Obese patients (i.e. BMI \>40) * Postoperatively, patients will be excluded if they have had additional operative procedures requiring a change in the usual protocol of care

Design outcomes

Primary

MeasureTime frameDescription
Neurostimulation versus ultrasound guided infraclavicular catheter placement14 daysComparision of block success with neurostimulation and ultrasound guided placed infraclavicular catheters

Secondary

MeasureTime frameDescription
Time taken for complete nerve block14 daysProcedure time for both techniques

Countries

Canada

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026