- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04453462
Efficacy of Local Direct Median Nerve Block
Efficacy of Local Direct Median Nerve Block VS Brachial Plexus Block in Endoscopic Carpal Tunnel Release
Study Overview
Status
Conditions
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Kittipong Siriboonpipattana, MD
- Phone Number: +66894241063
- Email: 025bee.r404@gmail.com
Study Locations
-
-
Pathumthani
-
Khlong Luang, Pathumthani, Thailand, 12120
- Thammasat University Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient with carpal tunnel syndrome, confirmed by EMG
- Failed conservative treatment 3 months
- Age ≥18 years old
Exclusion Criteria:
- Allergic history of xylocaine
- Any other condition that can cause carpal tunnel syndrome or peripheral neuropathy e.g. DM, hypothyroidism, pregnancy, tumor
- Any patient that has been coverted to open carpal tunnel release
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Local direct median nerve block
The local anesthetic technique is proposed by Wood SH and Logan AM in 1999 by using the plastic catheter to inject the anesthetic 4 cm proximally to the incision site direct over the median and ulna nerve
|
local direct median nerve block is performed by surgeon using the 1%xylocaine with adrenaline 12 mL(5 mL subcutaneous at incision site and 7 mL over median nerve) (maximum dose 7 mg/kg) before the endoscopic carpal tunnel release(1-portal Agee technique)
|
Active Comparator: Brachial plexus block
The brachial plexus block technique is axillary block performed under ultrasound-guided by the well-trained anesthesiologist.
|
brachial plexus block under ultrasound-guided is performed by experienced single anesthesiologist using the 1%xylocaine with adrenaline 15 mL (maximum dose 7 mg/kg) before the endoscopic carpal tunnel release(1-portal Agee technique)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Intraoperative pain measured as visual analog scale (VAS)
Time Frame: Immediate postoperative period
|
Visual analog scale (VAS) from 0-10 0 means no pain 5 means moderate pain 10 means worst possible pain Immediate postoperative the blinded observer will ask the patient about interaoperative pain in visual analog scale |
Immediate postoperative period
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Postoperative pain measured as visual analog scale (VAS)
Time Frame: 2 hours, 4 hours, 6 hours and 12 hours postoperative period
|
Visual analog scale (VAS) from 0-10 0 means no pain 5 means moderate pain 10 means worst possible pain The pateint is asked to record the 2 hours, 4 hours, 6 hours and 12 hours postoperative pain in case record form. |
2 hours, 4 hours, 6 hours and 12 hours postoperative period
|
Functional outcome of the hand measured as Thai Version Boston Questionnaire
Time Frame: 2, 4, 12, 24 weeks postoperative period
|
There are 2 parts of Thai Version Boston Questionnaire
The follow up will be 1, 4, 12, 24 weeks to assess functional outcome with Thai Version Boston Questionnaire |
2, 4, 12, 24 weeks postoperative period
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Chinnakart Boonyasirikool, MD, Department of Orthopaedics, Faculty of Medicine Thammasat University
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- MTU-EC-OT-6-227/61
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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