Regional anesthesia Infraclavicular brachial plexus block Anesthesia Analgesia
Conditions
Interventions
US probe will be appliedin the lateral infraclavicular fossa,
medial to the coracoid process,
to obtain a short-
axis view of the axillary artery.
A 22-
gauge block needle will be advanced under direct US vision until the tip is located dorsal to the artery. ,US probe will be applied parallel to the lateral half of the clavicle,
gauge block needle will be advanced under direct US vision until the tip is positioned between the lateral,
medial and posterior cords.
Active Comparator Procedure/Surgery,Active Comparator Procedure/Surgery
Conventional group,Costoclavicular group
Sponsors
None
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: - Patients undergoing upper extremity surgery (elbow and below). - American Society of Anesthesiologists classification 1-3 - Body mass index between 18 and 30 kg/m2
Exclusion criteria
Exclusion criteria: - pre existing neuropathy or coagulopathy - renal failure or hepatic failure - allergy to local anesthetics - pregnancy - prior surgery in the area of the infraclavicular fossa - chronic pain syndromes requiring opioid intake at home
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Onset time within 30 minutes after the end of the procedure Record the time from the end of local anesthetic drug injection to successful brachial plexus block | — |
Secondary
| Measure | Time frame |
|---|---|
| Performance time within 20 minutes after starting the procedure Record the time from applying ultrasound probe on skin to the end of local anesthetic drug injection,Total anesthesia-related time (sum of performance and onset times) within 30 minutes after the end of the procedure Record the time from applying ultrasound probe on skin until successful brachi plexus block achieved,Complications within 60 minutes after the end of the procedure Record incidences of intravascular injection, systemic toxic, pneumothorax, diaphragm paralysis.,Number of needle passes during the procedure Record number of needle passes used to reach the target,Procedural discomfort at the end of the procedure Use visual analog scale from 0 to 10 | — |
Countries
Thailand
Contacts
Public ContactPrangmalee Leurcharusmee
Chaing Mai University
Outcome results
None listed