Lateral Sagittal vs Costoclavicular Brachial Plexus Block in Children

Ataturk University60 enrolled

Overview

Costoclavicular approach has lots of advantages compared to the lateral sagittal approach for infraclavicular brachial plexus block. Although the efficacy of this block has been demonstrated in adults, there are no randomized controlled trials in the literature on the application of pediatric patients. Our aim was to compare the ultrasound-guided infraclavicular and costoclavicular approach in pediatric patients.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Hand Injuries and Disorders Forearm Injuries

Interventions

Lidocaine and Bupivacaine solutionDRUG

1:1 ratio 2% lidocaine, and 0.5% bupivacaine

Costoclavicular blockDEVICE

Ultrasound-guided costoclavicular brachial plexus block

Lateral Sagittal blockDEVICE

Ultrasound-guided lateral sagittal brachial plexus block

Eligibility

Sex: ALLMin age: 5 YearsMax age: 15 Years

Medical Language ↔ Plain English

Inclusion Criteria: * American Society of Anesthesiologist's physiologic state I-II patients * Patients who will undergo hand or forearm surgery Exclusion Criteria: * Infection in the area to be injected * Coagulopathy, * Previously known neurological damage

Locations (1)

Ataturk University

Erzurum, Turkey (Türkiye)

Outcomes

Primary Outcomes

Block performance time

The time interval between the contact of the ultrasound probe to skin and end of local anesthetics injection.

Time frame: Twenty minutes before surgery

Secondary Outcomes

Visual analog pain score

Pain will be evaluated with a Visual Analogue Scale (VAS) score of 0-10 (0= no pain and 10= worst imaginable pain)

Time frame: Postoperative 24 hours

Data from ClinicalTrials.gov

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