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In this study investigators will compare two different approaches of brachial plexus block ;supraclavicular approach and retroclavicular approach regarding success rate, duration of block, complications
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Supraclavicular approach group | Active Comparator | probe placed firmly over the supraclavicular fossa, parallel to the clavicle to obtain a short-axis view of the divisions of the brachial plexus and the subclavian artery, lying on the first rib After skin infiltration with lidocaine 2% a 23-gauge 70mm block needle inserted in-plane with the ultrasound beam, in a lateral-to-medial direction, until the needle tip's positioned at the junction of the first rib and subclavian artery |
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| Retroclavicular approach group | Active Comparator | the probe will be placed below and perpendicular to the clavicle, in a paramedian sagittal plane, medial to the coracoid process, to obtain a short-axis view of the cords of the brachial plexus and the axillary vessels. The needle will be then inserted in the supraclavicular fossa, approximately 1 cm posteriorly to the clavicle, and advanced in plane and strictly parallel to the ultrasound transducer. After passing the initial blind zone of about 2 cm caused by the acoustic shadow of the clavicle, the needle tip is constantly seen, until it is positioned posterior to the axillary artery |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| supraclavicular brachial plexus block | Procedure | group will receive brachial plexus block above clavicle,Injection of anaesthetic will be done in brachial plexus around subclavian artery |
| Measure | Description | Time Frame |
|---|---|---|
| Block success rate | Investigator will compare success rate of both types of block and which one is more likely to be successfully administrated | one year |
| Complications | Investigators will compare complications like pneumothorax,nerve injury,bleeding and which one is more likely to cause complications | one year |
| Duration of sensory and motor blockade | Time which each procedure will take to block sensory and motor stimuli | one year |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of procedure | Time which took the investigator to administrate each type of block | one year |
| Number of needle passes | number of times in which needle has entered been entered into the participant in each group |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sohag University Hospital | Sohag | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26670119 | Background | Albrecht E, Mermoud J, Fournier N, Kern C, Kirkham KR. A systematic review of ultrasound-guided methods for brachial plexus blockade. Anaesthesia. 2016 Feb;71(2):213-27. doi: 10.1111/anae.13347. Epub 2015 Dec 16. | |
| 25478758 | Background | Yazer MS, Finlayson RJ, Tran DQ. A randomized comparison between infraclavicular block and targeted intracluster injection supraclavicular block. Reg Anesth Pain Med. 2015 Jan-Feb;40(1):11-5. doi: 10.1097/AAP.0000000000000193. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Oct 5, 2022 | |
| Reset | Aug 22, 2023 |
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| Retroclavicular brachial plexus block | Procedure | group will receive brachial plexus block inferior to the clavicle,injection of anaesthetic will be done around axillary artery |
|
| one year |
| 26222346 | Background | Charbonneau J, Frechette Y, Sansoucy Y, Echave P. The Ultrasound-Guided Retroclavicular Block: A Prospective Feasibility Study. Reg Anesth Pain Med. 2015 Sep-Oct;40(5):605-9. doi: 10.1097/AAP.0000000000000284. |
| 30857608 | Background | Grape S, Pawa A, Weber E, Albrecht E. Retroclavicular vs supraclavicular brachial plexus block for distal upper limb surgery: a randomised, controlled, single-blinded trial. Br J Anaesth. 2019 Apr;122(4):518-524. doi: 10.1016/j.bja.2018.12.022. Epub 2019 Jan 31. |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Oct 5, 2022 | Aug 22, 2023 |