Ultrasound-guided local wound infiltration versus ultrasound-guided intermediate cervical plexus block for carotid endarterectomy: Randomized controlled trial

Status

Unknown

Phases

Phase 3

Study type

Interventional

Source

TCTR

Registry ID

TCTR20220516001

Enrollment

Registered

2022-05-16

Start date

2022-05-27

Completion date

Unknown

Last updated

2026-08-03

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

Conditions

The efficacy of ultrasound-guided local infiltration in patients undergoing carotid endarterectomy compare to ultrasound-guided intermediate cervical plexus block CAE, carotid endarterectomy, local infiltration, intermediate cervical plexus block, ultrasound guided

Interventions

injection 0.25% Bupivacaine total 22 ml divided to -subcutaneous to anterior of sternocleidomastoid muscle 5ml -above and under to sternocleidomastoid muscle 2ml/area -carotid sheath at level of caro

Experimental Procedure/Surgery,Experimental Procedure/Surgery

Ultrasound-guided local wound infiltration ,ultrasound-guided intermediate cervical plexus block

Eligibility

Sex/Gender

All

Age

18 Years to No maximum

Inclusion criteria

Inclusion criteria: 1. Patients who are more than 18 years old scheduled for elective CEA under RA at Ramathibodi hospital and can communication 2. Submit informed consent

Exclusion criteria

Exclusion criteria: 1. History of allergy to local anesthetics 2. Local sepsis at injection area 3. Known diaphragmatic motion abnormalities contralateral side 4. History of contralateral recurrent laryngeal nerve or phrenic nerve paralysis 5. Patients cannot tolerate in supine position 6. Patients who limit neck movement 7. Patients cannot communicate, delirium

Design outcomes

Primary

Measure	Time frame
Lidocaine 1% supplementation (ml) after start operation until finish operation ml	—

Secondary

Measure	Time frame
sedation score 15 minutes after start sedation drug 0 awake, 1 minimally sedated, 2 moderately sedated, 3 deeply sedated, 4 unarousable,dose of fentanyl total operation microgram,complication total operation and 24 hours after operation Intravascular injection, intrathecal injection, respiratory failure/distress, local hematoma, local anesthetic toxicity, convert to GA, rate of shunt insertion, hoarseness, dysphagia, Horner syndrome,satisfaction score of patient and surgeon within 24 hours after operation 1 very dissatisfied, 2 dissatisfied, 3 neutral, 4 satisfied, 5 very satisfied	—

Measure

Time frame

sedation score 15 minutes after start sedation drug 0 awake, 1 minimally sedated, 2 moderately sedated, 3 deeply sedated, 4 unarousable,dose of fentanyl total operation microgram,complication total operation and 24 hours after operation Intravascular injection, intrathecal injection, respiratory failure/distress, local hematoma, local anesthetic toxicity, convert to GA, rate of shunt insertion, hoarseness, dysphagia, Horner syndrome,satisfaction score of patient and surgeon within 24 hours after operation 1 very dissatisfied, 2 dissatisfied, 3 neutral, 4 satisfied, 5 very satisfied

—

Countries

Thailand

Contacts

Public ContactAmorn Vijitpavan

Department of anesthesiology Faculty of Medicine Ramathibodi Hospital, Mahidol University

fluotec@gmail.com0818191601

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 9, 2026