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To compare the two different approaches of infraclavicular brachial plexus block in forearm, wrist and hand surgery in terms of perfusion index, tissue oxygenation, sensory and motor block onset time and total effect time, first analgesic time, side effects and complications, and duration of block application.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lateral sagittal approach | Active Comparator | Patients in this group will be randomized to receive a lateral sagittal approach for Ultrasound Guided Infraclavicular Brachial Plexus Nerve Block . |
|
| Costoclavicular approach | Active Comparator | Patients in this group will be randomized to receive a costoclavicular approach to Ultrasound Guided Infraclavicular Brachial Plexus Nerve Block . |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lateral sagittal approach | Other | Lateral sagittal approach for ultrasound guided infraclavicular brachial plexus block |
|
| Measure | Description | Time Frame |
|---|---|---|
| perfusion index | the effect of the block on the perfusion index | up to motor block scale ≥3 |
| tissue oxygenation | the effect of the block on the tissue oxygenation | up to motor block scale ≥3 |
| Measure | Description | Time Frame |
|---|---|---|
| motor block onset time | quality of motor block scale ≥2 | Assessed 40 minutes after block completion |
| sensorial block onset time | quality of sensorial block scale ≥2 |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zonguldak Bülent Ecevit University Medicine Faculty | Zonguldak | Kozlu | 67600 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39797918 | Derived | Baytar C, Koksal BG. Effects of different approaches of infraclavicular brachial plexus block on perfusion index and tissue perfusion. Ann Med. 2025 Dec;57(1):2451765. doi: 10.1080/07853890.2025.2451765. Epub 2025 Jan 11. |
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| Costoclavicular approach | Other | Costoclavicular approach for ultrasound guided infraclavicular brachial plexus block |
|
| up to 24 hours |
| complications | block related complications such as pneumothorax, vascular injury, local anesthetic systemic toxicity | up to 24 hours |
| duration of block application | from the needle puncture to the end of the local anesthetic injection | during the intervention |