Ignite Creation Date:
2024-05-06 @ 8:22 PM
Last Modification Date:
2024-10-26 @ 3:26 PM
Study NCT ID:
NCT06352333
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-04-08
First Post:
2024-04-02
Brief Title:
Parasagittal Vs Cornerpocket Approaches
Sponsor:
Sohag University
Organization:
Sohag University
Study Overview
Official Title:
Parasagittal Vs Cornerpocket Approaches for Ultrasound Guided Supraclavicular Brachial Plexus Block A Comparative Study
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-04
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Brachial plexus blocks are widely used to provide anesthesia for upper limb surgery
Although many different approaches to the brachial plexus block have been described there is widespread acceptance that injecting at the supraclavicular level is the most reliable method in terms of spread of local anesthetic agent
Each approach of ultrasound guided supraclavicular brachial plexus block US -SCBPB has a different success rate and complications
A supraclavicular block can provide effective surgical anesthesia of the forearm and hand
The most commonly performed US- SCBPB is the corner pocket approach which was described by Chan et al with probe resting posterior to the clavicle with postero latero-anteromedial orientation provides a very stable location but has the disadvantage of looking across the first rib with the apex of the lung visualized close to thePlexus
A new Parasagittal approach for brachial plexus block at the supraclavicular level was studied by Adrian Searle where the arc of the first rib was used to provide a deep limit to needle transit in order to minimize the risk of pneumothorax the aim of our study is to further evaluate the parasagittal approach for brachial plexus block and compare it with the popular corner pocket approach
Although many different approaches to the brachial plexus block have been described there is widespread acceptance that injecting at the supraclavicular level is the most reliable method in terms of spread of local anesthetic agent
Each approach of ultrasound guided supraclavicular brachial plexus block US -SCBPB has a different success rate and complications
A supraclavicular block can provide effective surgical anesthesia of the forearm and hand
The most commonly performed US- SCBPB is the corner pocket approach which was described by Chan et al with probe resting posterior to the clavicle with postero latero-anteromedial orientation provides a very stable location but has the disadvantage of looking across the first rib with the apex of the lung visualized close to thePlexus
A new Parasagittal approach for brachial plexus block at the supraclavicular level was studied by Adrian Searle where the arc of the first rib was used to provide a deep limit to needle transit in order to minimize the risk of pneumothorax the aim of our study is to further evaluate the parasagittal approach for brachial plexus block and compare it with the popular corner pocket approach
Detailed Description:
After approval of research ethics committee of Sohag University hospital a written consent will be taken from all participants to use their data for research and educational purposes The study will be carried on 80 participants who undergo elective upper limb surgery for a comparative study
In this study the investigators will use A 22 G Spinal needle a high frequency linear probe of US and 2 lidocaine and 05 bupivacaine as local anathetics Every participant will be informed about advantages and disadvantages of the research and has the right to withdraw at any stage without negative impact on medical service production
For both types of block
Wide bored cannula is insertedMonitoring is applied pulseEcgBp Oxygen mask 5 liters Participants were positioned supine with the head turned to the non-operative Side contralateral side and a pillow under the head and shoulder with the ipsilateral arm placed adducted by the patient side
After that we sterilize the skin and apply a local anesthetic 2-3 ml of2 lidocaine
The total volume of the local anesthetic mixture was 30 ml 10 ml of 2 lidocaine mixed with 20 ml of 05 bupivacine Then participants will be divided randomly into 2 groups each group 40 participants
In this study the investigators will use A 22 G Spinal needle a high frequency linear probe of US and 2 lidocaine and 05 bupivacaine as local anathetics Every participant will be informed about advantages and disadvantages of the research and has the right to withdraw at any stage without negative impact on medical service production
For both types of block
Wide bored cannula is insertedMonitoring is applied pulseEcgBp Oxygen mask 5 liters Participants were positioned supine with the head turned to the non-operative Side contralateral side and a pillow under the head and shoulder with the ipsilateral arm placed adducted by the patient side
After that we sterilize the skin and apply a local anesthetic 2-3 ml of2 lidocaine
The total volume of the local anesthetic mixture was 30 ml 10 ml of 2 lidocaine mixed with 20 ml of 05 bupivacine Then participants will be divided randomly into 2 groups each group 40 participants
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None