Comparison of the Block Characteristics of USG Guided Costoclavicular and Infraclavicular Block With the Perfusion Index

Comparison of the Block Characteristics of Ultrasound Guided Costoclavicular and Infraclavicular Block With the Perfusion Index

With this study, it was aimed to compare the block characteristics evaluated with traditional methods in infraclavicular and costoclavicular block applications performed in upper extremity surgery in our clinic with the perfusion index

Study Overview

• Status: Completed
• Conditions: Costoclavicular and Infraclavicular Block for Patients Who Have Undergone Hand,Forearm and Arm Surgery
• Intervention / Treatment: Device: Perfusion Index

Detailed Description

Peripheral nerve block is to anesthetize the dermatomes belonging to the nerve or nerve group to which the block is applied, by performing sympathetic, sensory and motor blocks. Brachial plexus blockade; It is a peripheral nerve blockage that can be used in surgical operations to be performed on the upper extremity and can be performed at the level of interscalene, supraclavicular, infraclavicular, costoclavicular, axillary and terminal nerves.

The costoclavicular brachial plexus block has been used as an alternative to lateral sagittal infraclavicular block, due to its ease of application, its rapid onset of action and its high success rate. The effectiveness of the block is measured by sensory, motor and sympathetic block effects. The sensory block can be evaluated by cold or pinprick test, and motor block by traditional methods such as the patient's response to verbal commands and can be objective.

Sympathetic block manifests itself with vasodilation and an increase in blood flow rate and can be measured with the more quantitative perfusion index (PI). The perfusion index represents the ratio of pulsatile blood flow to static blood flow in peripheral tissue and can be measured continuously and noninvasively from a pulse oximeter. Successful peripheral nerve blockade; It is seen as local vasodilation, increased local blood flow, some increase in skin temperature and loss of sensation in the extremity due to the blockage of sympathetic fibers. It can be a guide in determining the effectiveness of the block because it is noninvasive and easy, providing rapid evaluation, without requiring patient cooperation to evaluate the success of the block.

• Study Type: Observational
• Enrollment (Actual): 90

Contacts and Locations

Study Locations

• Turkey
  • İzmir, Turkey, 35360
    • Katip Çelebi University İzmir Atatürk Training and Reseach Hospital
  • İzmir, Turkey, 35360
    • Katip Celebi University Ataturk Training and Research Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: N/A
• Genders Eligible for Study: All

• Sampling Method: Probability Sample

Study Population

All costoclavicular and infraclavicular block patients who have undergone hand,forearm and arm surgery over the age of 18

Description

Inclusion Criteria:

• All costoclavicular and infraclavicular block patients who have undergone hand,forearm and arm surgery
• Patients over the age of 18

Exclusion Criteria:

• Patients who do not want to participate in the study
• Patients whose peripheral block administration is contraindicated

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Prospective

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Infraclavicular Group; Block Characteristics of Ultrasound Guided Infraclavicular Block with the Perfusion Index	Device: Perfusion Index; perfusion index in the prediction of peripheral block success was previously reported for infraclavicular brachial plexus block, axillary brachial plexus block, interscalene brachial plexus block, and supraclavicular brachial plexus in adult patients
Costoclavicular Group; Block Characteristics of Ultrasound Guided costoclavicular Block with the Perfusion Index	Device: Perfusion Index; perfusion index in the prediction of peripheral block success was previously reported for infraclavicular brachial plexus block, axillary brachial plexus block, interscalene brachial plexus block, and supraclavicular brachial plexus in adult patients

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Correlation of perfusion index with infraclavicular and costoclavicular block success	Correlation of perfusion index with infraclavicular and costoclavicular block success	3 Months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Comparison of the Block Characteristics of Ultrasound Guided Costoclavicular and Infraclavicular Block	Comparison of the Block Characteristics of Ultrasound Guided Costoclavicular and Infraclavicular Block	3 Months

Collaborators and Investigators

• Sponsor: Izmir Ataturk Training and Research Hospital
• Investigators: Study Director: Busra Serce, MD, KCU Izmir Atatürk Training and Research Hospital; Principal Investigator: Derya Yurtlu, MD, KCU Izmir Atatürk Training and Research Hospital

Study record dates

Study Major Dates

• Study Start (Actual): March 14, 2021
• Primary Completion (Actual): June 30, 2021
• Study Completion (Actual): July 30, 2021

Study Registration Dates

• First Submitted: April 21, 2021
• First Submitted That Met QC Criteria: April 21, 2021
• First Posted (Actual): April 23, 2021

Study Record Updates

• Last Update Posted (Actual): September 1, 2021
• Last Update Submitted That Met QC Criteria: August 31, 2021
• Last Verified: August 1, 2021

More Information

Terms related to this study

• Keywords: infraclavicular, costoclavicular, perfusion index, block
• Other Study ID Numbers: IATRH

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No