Infraclavicular or Supraclavicular Brachial Plexus Blocks for Elbow Surgery

December 10, 2017 updated by: Shalini Dhir, Lawson Health Research Institute

A Randomized Comparison of Infraclavicular and Supraclavicular Brachial Plexus Blocks for Elbow Surgery

This study compares the infraclavicular approach to supraclavicular approach of brachial plexus block for elbow surgery.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Traditionally, infraclavicular as well as supraclavicular approaches to brachial plexus have been recommended for elbow surgery. Supraclavicular approach is considered to have a more rapid onset. However, investigators have noticed that the supraclavicular approach needs more supplementation if it is used for elbow surgery. Therefore more and more anesthesiologists now choose the infraclavicular approach for elbow surgery (though both approaches are recommended in the text books).

None of the published studies have addressed if one approach is indeed superior to the other specifically for elbow surgery. Therefore the investigators propose to undertake a study that will evaluate the two approaches to the brachial plexus specifically for elbow surgery.

Study Type

Interventional

Enrollment (Actual)

150

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Canada
    • Ontario
      • London, Ontario, Canada, N6A 4V2
        • St. Joseph's Hospital

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 80 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Patients scheduled for ambulatory elbow surgery under block
  • ASA 1-3

Exclusion Criteria:

  • Narcotic dependent
  • Severe systemic illness
  • Refusal of block
  • localized infection

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Triple

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Supraclavicular
Supraclavicular brachial plexus block will be done.
Procedure: Supraclavicular
Brachial plexus block with supraclavicular approach
Active Comparator: Infraclavicular
Infraclavicular brachial plexus block block will be done.
Procedure: Infraclavicular
Brachial plexus block with infraclavicular approach

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Time to completion of block
Time Frame: 30 minutes
A clock will be used to assess this outcome. Complete sensory block in all dermatomes will be tested with ice.
30 minutes

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Readiness for surgery
Time Frame: 60 minutes
A clock will be used to assess this outcome. Complete sensory and motor block at the time of incision will be considered readiness of surgery.
60 minutes

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Lawson Health Research Institute

Investigators

  • Principal Investigator: Shalini Dhir, FRCPC, Western University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

January 1, 2013

Primary Completion (Actual)

July 1, 2016

Study Completion (Actual)

July 1, 2016

Study Registration Dates

First Submitted

January 12, 2016

First Submitted That Met QC Criteria

February 8, 2016

First Posted (Estimate)

February 9, 2016

Study Record Updates

Last Update Posted (Actual)

December 12, 2017

Last Update Submitted That Met QC Criteria

December 10, 2017

Last Verified

December 1, 2017

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 101723

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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