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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group Lateral Sagittal | Active Comparator | Ultrasound-Guided lateral sagittal brachial plexus block with 1:1 ratio 2% lidocaine, and 0.5% bupivacaine |
|
| Group Costoclavicular | Active Comparator | Ultrasound-Guided costoclavicular brachial plexus block with 1:1 ratio 2% lidocaine, and 0.5% bupivacaine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lidocaine and Bupivacaine solution | Drug | 1:1 ratio 2% lidocaine, and 0.5% bupivacaine |
|
| Measure | Description | Time Frame |
|---|---|---|
| Block performance time | The time interval between the contact of the ultrasound probe to skin and end of local anesthetics injection. | Twenty minutes before surgery |
| Measure | Description | Time Frame |
|---|---|---|
| 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) | Postoperative 24 hours |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ataturk University | Erzurum | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30658327 | Background | Yayik AM, Cesur S, Ozturk F, Celik EC, Ahiskalioglu A. Ultrasound guided costoclavicular approach to brachial plexus: First pediatric report. J Clin Anesth. 2019 Aug;55:136-137. doi: 10.1016/j.jclinane.2019.01.008. Epub 2019 Jan 15. No abstract available. | |
| 29923950 | Background | Songthamwat B, Karmakar MK, Li JW, Samy W, Mok LYH. Ultrasound-Guided Infraclavicular Brachial Plexus Block: Prospective Randomized Comparison of the Lateral Sagittal and Costoclavicular Approach. Reg Anesth Pain Med. 2018 Nov;43(8):825-831. doi: 10.1097/AAP.0000000000000822. |
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| ID | Term |
|---|---|
| D006230 | Hand Injuries |
| D004194 | Disease |
| D005543 | Forearm Injuries |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001134 | Arm Injuries |
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| ID | Term |
|---|---|
| D008012 | Lidocaine |
| ID | Term |
|---|---|
| D000083 | Acetanilides |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 |
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| Costoclavicular block | Device | Ultrasound-guided costoclavicular brachial plexus block |
|
| Lateral Sagittal block | Device | Ultrasound-guided lateral sagittal brachial plexus block |
|
| Aniline Compounds |
| D000588 | Amines |