The Simultaneous Use of Supraclavicular and Distal Blocks

• Status: Completed
• Trial end date: 2013-02-01
• Target enrollment: 0
• Participant gender: All

Summary

The aim of this study is to compare the combined ultrasound-guided supraclavicular brachial plexus block and distal median, radial, and ulnar nerve blocks, with supraclavicular block alone.

Sixty two patients undergoing upper extremity surgery will be randomized to supraclavicular only (Group S, n=31) or supraclavicular + distal (Group SD, n=31) group. Patients in group S will receive 32 mL of lidocaine 1.5% + epinephrine 5µg/mL and in group SD receive 20 mL of lidocaine 1.5% + epinephrine 5µg/mL followed by a distal median, radial, and ulnar nerve blocks using 50:50 mixture of lidocaine 2% + levobupivacaine 0.5% (4 mL/nerve). Sensory and motor block of the ulnar, median, radial and musculocutaneous nerves will be assessed every 5 minutes starting at the 10th minutes. The imaging, needling and performance times will be recorded. Also the onset and anesthesia related times, need for analgesic and first analgesic time will be noted.

• Phase: Phase 4
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Ankara University
• Treatments: Anesthetics; Bupivacaine; Epinephrine; Epinephryl borate; Levobupivacaine; Lidocaine; Midazolam; Racepinephrine

Criteria

Inclusion Criteria:

• 18 and 80 years old patient

• American Society of Anesthesiologists (ASA) physical status I-III

• Scheduled for elective hand and forearm surgery

Exclusion Criteria:

• patient refusal

• preexisting neuropathy

• coagulopathy

• allergy to agents used

• pregnancy

• body mass index > 35 kg/m2

• chronic obstructive pulmonary disease

• infection or previous surgery in the supraclavicular area

• systemic infection