Comparison of Conventional and Retroclavicular Approaches for Ultrasound-guided Infraclavicular Brachial Plexus Block

Ankara Etlik City Hospital60 enrolled

Overview

Forearm and hand surgeries are among the most frequently performed surgical interventions both in trauma patients and electively.In these procedures, alternative anesthesia methods such as general anesthesia, regional intravenous anesthesia, regional peripheral nerve blocks and local anesthesia are available. Peripheral nerve blockade can be used for anesthesia and analgesia.This method allows patients to undergo surgery without general anesthesia and increases patient satisfaction by providing effective analgesia in the postoperative period. The aim of this study was to compare the conventional and retroclavicular approaches to infraclavicular block in patients undergoing forearm and hand surgery.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

QUADRUPLE

Enrollment

Conditions

Peripheral Nerve Block Pain Management Forearm Surgery Hand Surgery

Interventions

Conventional approach to infraclavicular blockPROCEDURE

Conventional approach to infraclavicular block will be performed on the patients using 20 ml of 0.5% bupivacaine 5ml of %2 lidocaine under ultrasound guidance.

Retroclavicular approach to the infraclavicular blockPROCEDURE

Retroclavicular approach to the infraclavicular block will be performed on the patients using 20 ml of 0.5% bupivacaine 5ml of %2 lidocaine under ultrasound guidance.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients 18-80 years of age * Those with ASA score II-III * Those with a body mass index (BMI) \>30 * Patients who are suitable for forearm and hand surgery under regional anesthesia in the operating room Exclusion Criteria: * Patients who cannot perceive and evaluate pain * Patients who want to have surgery under general anesthesia * Patients in whom regional anesthesia is contraindicated

Outcomes

Primary Outcomes

Block Performance Time

Total block performance time (from skin puncture to needle removal) will be recorded

Time frame: During regional anesthesia

Secondary Outcomes

Pain Score

Pain will be assessed using a visual analog scale from 0 mm (no pain) to 100 mm (worst pain) at rest and when coughing. Pain assessment will be made at 0, 1, 6, 12, 18, and 24 hours after surgery.

Time frame: Up to 24 hours

Patient Satisfaction

Quality of recovery-15 (QoR-15) score was used as the satisfaction score. The patient-reported Turkish QoR-15 score includes 15 questions that evaluate the patient's postoperative recovery. The QoR-15 score is grouped under two groups, A and B. A high QoR-15 score, a score between 0 (poor) and 10 (excellent) for each item, and a total score of 150 indicate better quality of recovery.

Time frame: 1 day

Central Contacts

Ibrahim Topcu, MD

CONTACT

+905437860316 ibrahimtpc78@gmail.com

Musa Zengin, Associate Professor