- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01993290
USG Brachial Plexus Block for Upper Extremity Surgery
Ultrasound-guided Brachial Plexus Block With the Single-penetration Multiple-injection-technique for Upper Extremity Surgery
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
The investigators will compare the BP block efficacy (for surgical anaesthesia) with the USG single-penetration multiple-injection-technique at the SCL, LIC and AX level for upper-extremity surgery (elbow, forearm, wrist, hand). The investigators want to investigate whether the single-penetration multiple-injection-technique would provide for safe surgical anaesthesia with lower volumes of local anaesthetics than has previously been described in a comparative study at the three different levels.
120 patients will prospectively be randomized to an USG BP block administered as a single-penetration multiple-injection-technique at one of three different levels: (1) SCL (2) LIC (3) AX. Ropivacaine 0.75% (20 mL) will be used for all blocks prior to surgery.
Undersøgelsestype
Tilmelding (Forventet)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Copenhagen, Danmark, 2400
- Department of Anaesthesiology, Bispebjerg Hospital
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Age above 18 years
- American Society of Anaesthesiology class 1-3
- Patients undergoing upper extremity surgery
Exclusion Criteria:
- Inability to cooperate
- Inability to understand and talk danish
- Allergic to ropivacaine
- Infection at site of surgery
- Neurological dysfunction at site of surgery
- Severe coagulopathy
- Drug and alcohol abuse
- Patients, who can not get a nerve block due to technical difficulty
- Pregnancy or nursing
- Body mass index >35
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Aktiv komparator: USG Supraclavicular block
20 ml of ropivacaine 0,75% is administered to brachial plexus at supraclavicular level.
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20 ml in total of 0,75% Ropivacaine is administered to each patient in all three arms.
Andre navne:
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Aktiv komparator: Lateral infraclavicular block
20 ml of ropivacaine 0,75 % is administered to brachialis plexus at lateral infraclavicular level
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20 ml in total of 0,75% Ropivacaine is administered to each patient in all three arms.
Andre navne:
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Aktiv komparator: USG Axillaris block
20 ml of ropivacaine 0,75% is administered to plexus brachialis at axillaris level
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20 ml in total of 0,75% Ropivacaine is administered to each patient in all three arms.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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Blockade performance time (seconds)
Tidsramme: Time (seconds) from the time the ultrasound transducer is placed on the skin and until the needle is taken out of the body.
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Time (seconds) from the time the ultrasound transducer is placed on the skin and until the needle is taken out of the body.
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Onset time of blockade (minutes)
Tidsramme: Time from block completion to complete sensory and motor block is accomplished.
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Time from block completion to complete sensory and motor block is accomplished.
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Number of needle passes
Tidsramme: Number of times the direction of the needle changes while performing the block
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Number of times the direction of the needle changes while performing the block
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Patient reported pain related to needle passes (Scale 0-2)
Tidsramme: Pain related to block performance reported by the patient right after block completion
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0= no pain
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Pain related to block performance reported by the patient right after block completion
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Duration of time of block postoperatively (hours)
Tidsramme: Patient reported the time off ending sensory and motory block
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Patient reported the time off ending sensory and motory block
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: Mojgan Vazin, MD, Department of Anaesthesiology, Bispebjerg Hospital
Publikationer og nyttige links
Generelle publikationer
- Koscielniak-Nielsen ZJ, Frederiksen BS, Rasmussen H, Hesselbjerg L. A comparison of ultrasound-guided supraclavicular and infraclavicular blocks for upper extremity surgery. Acta Anaesthesiol Scand. 2009 May;53(5):620-6. doi: 10.1111/j.1399-6576.2009.01909.x.
- Mariano ER, Sandhu NS, Loland VJ, Bishop ML, Madison SJ, Abrams RA, Meunier MJ, Ferguson EJ, Ilfeld BM. A randomized comparison of infraclavicular and supraclavicular continuous peripheral nerve blocks for postoperative analgesia. Reg Anesth Pain Med. 2011 Jan-Feb;36(1):26-31. doi: 10.1097/AAP.0b013e318203069b.
- Tran DQ, Munoz L, Zaouter C, Russo G, Finlayson RJ. A prospective, randomized comparison between single- and double-injection, ultrasound-guided supraclavicular brachial plexus block. Reg Anesth Pain Med. 2009 Sep-Oct;34(5):420-4. doi: 10.1097/AAP.0b013e3181ae733a.
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Sygdomme i nervesystemet
- Neoplasmer
- Sår og skader
- Cyster
- Bindevævssygdomme
- Neuromuskulære sygdomme
- Mononeuropatier
- Sygdomme i det perifere nervesystem
- Median neuropati
- Nervekompressionssyndromer
- Kumulative traumelidelser
- Forstuvninger og stammer
- Mucinoser
- Karpaltunnelsyndrom
- Brud
- Ganglioncyster
- Lægemidlers fysiologiske virkninger
- Depressive midler til centralnervesystemet
- Agenter fra det perifere nervesystem
- Sensoriske systemagenter
- Bedøvelsesmidler
- Bedøvelsesmidler, lokale
- Ropivacain
Andre undersøgelses-id-numre
- BBH-PB
- H-2-2012-055 (Anden identifikator: The national committee on health research ethics)
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Ganglioncyster
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Ajou University School of MedicineAfsluttetSphenopalatin Ganglion BlockKorea, Republikken
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University of AberdeenArthrex, Inc.; NHS GrampianAfsluttetGanglion af håndledDet Forenede Kongerige
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Assiut UniversityUkendtIntubation | Stellat GanglionEgypten
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Keimyung University Dongsan Medical CenterAfsluttetThorax; Sympatisk ganglion, skadeKorea, Republikken
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Cairo UniversityRekrutteringGenerel anæstesi | Sphenopalatin Ganglion Block | Quality of Surgical Field | Trans-Sphenoidal Endoscopic HypophysectomyEgypten
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Zhonghua Chen,MDShaoxing Hospital of Zhejiang UniversityAktiv, ikke rekrutterendeMulig molekylær mekanisme for venstre stellat ganglieblok | Venstre Stellate Ganglion Blok kan hurtigt gendanne Venstre Stellate GanglionKina
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Bezmialem Vakif UniversityRekrutteringBimaxillær kirurgi | Sphenopalatin Ganglion BlockKalkun
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Montefiore Medical CenterAfsluttet
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Tanta UniversityAfsluttetUltralyd | Funktionel endoskopisk sinuskirurgi | Sphenopalatin Ganglion Block | BrainLab NavigationEgypten
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Konya City HospitalAfsluttetSphenopalatin Ganglion Block | Quality of Recovery (QoR-15) | Infraorbital nerveblokTyrkiet (Türkiye)
Kliniske forsøg med Ropivacaine
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Northern Jiangsu People's HospitalIkke rekrutterer endnu
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Sahiwal medical college sahiwalAfsluttetBradykardi | Postoperativ analgesi | Opioidbesparende anæstesi | Hypotension, kontrolleret | StomitilbageførselsprocedurePakistan
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Huazhong University of Science and TechnologyRekrutteringNerveblok | Ropivacain | Liposomal bupivacain | Total knæantroplastikKina
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Qilu Hospital of Shandong UniversityRekrutteringAnalgesi | Liposomal bupivacain | Præperitoneal infiltrationKina
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Ziekenhuis Oost-LimburgRekrutteringAnæstesi | Hallux ValgusBelgien
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University Health Network, TorontoUkendtSmerter, postoperativCanada
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Beijing Tiantan HospitalIkke rekrutterer endnuSøvn | Stellat ganglieblok | Langvarige bevidsthedsforstyrrelserKina
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Boston Children's HospitalTrukket tilbageSmerter, postoperativ | Hoftedysplasi | Regional anæstesiForenede Stater
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Pusan National University HospitalAfsluttetHæmodynamik | Epidural anæstesi | Ropivacain koncentrationKorea, Republikken