Brachial Plexus Blocks, Perfusion Index, Regional Anesthesia, Tissue Perfusion, Upper Extremity Fracture
Conditions
Keywords
lateral sagittal approach, costoclavicular approach, block success, perfusion index, brachial plexus
Brief summary
To compare the two different approaches of infraclavicular brachial plexus block in forearm, wrist and hand surgery in terms of perfusion index, tissue oxygenation, sensory and motor block onset time and total effect time, first analgesic time, side effects and complications, and duration of block application.
Interventions
Lateral sagittal approach for ultrasound guided infraclavicular brachial plexus block
Costoclavicular approach for ultrasound guided infraclavicular brachial plexus block
Sponsors
Zonguldak Bulent Ecevit University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* patients who undergo elective forearm or hand surgery under infraclavicular brachial plexus block * American Society of Anesthesiologists class 1 to 3 * Ability to consent
Exclusion criteria
* History of allergic reaction to local anaesthetics * Peripheral neuropathy * Renal or hepatic insufficiency * Coagulation disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| perfusion index | up to motor block scale ≥3 | the effect of the block on the perfusion index |
| tissue oxygenation | up to motor block scale ≥3 | the effect of the block on the tissue oxygenation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| motor block onset time | Assessed 40 minutes after block completion | quality of motor block scale ≥2 |
| sensorial block onset time | up to 24 hours | quality of sensorial block scale ≥2 |
| complications | up to 24 hours | block related complications such as pneumothorax, vascular injury, local anesthetic systemic toxicity |
| duration of block application | during the intervention | from the needle puncture to the end of the local anesthetic injection |
Countries
Turkey (Türkiye)
Outcome results
None listed