[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100656290":3},{"organization":4,"outcomesModule":7,"designInfo":31,"detailedDescription":39,"studyPopulation":24,"armGroups":40,"interventions":52,"overallOfficials":24,"centralContacts":60,"locations":66,"responsibleParty":77,"collaborators":24,"id":81,"slug":82,"hasResults":83,"nctId":84,"briefTitle":85,"officialTitle":86,"acronym":24,"eligibilityCriteria":87,"healthyVolunteers":83,"sex":88,"minAge":89,"maxAge":90,"enrollmentInfo":91,"targetDuration":24,"studyType":94,"phases":95,"briefSummary":97,"conditions":98,"keywords":102,"overallStatus":106,"whyStopped":24,"lastUpdateSubmitDate":107,"lastUpdatePostDateStruct":108,"startDateStruct":111,"completionDateStruct":113,"leadSponsor":115,"locationsCount":116},{"fullName":5,"class":6},"Bursa Yuksek Ihtisas Training and Research Hospital","OTHER_GOV",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":24},[9],{"measure":10,"description":11,"timeFrame":12},"Surgical anesthesia adequacy (block success)","Complete sensory and motor blockade of the surgical field, allowing the operation to be completed without additional local infiltration or conversion to general anesthesia","30 minutes after block",[14,18,22,25,27],{"measure":15,"description":16,"timeFrame":17},"Block application time","time from needle insertion to withdrawal.","intraoperative",{"measure":19,"description":20,"timeFrame":21},"Sensory block onset time","Pin-Prick test in the median, ulnar, radial, and musculocutaneous dermatomes (0: normal, 1: blunt, 2: no sensation).","5., 10., 15., 30. minutes",{"measure":23,"description":24,"timeFrame":21},"Motor block onset time",null,{"measure":26,"description":24,"timeFrame":17},"Intraoperative additional analgesic\u002Fsedation consumption",{"measure":28,"description":29,"timeFrame":30},"Patient and surgeon satisfaction","4-point Likert scale (1: very poor, 4: very good)","2nd day after surgery",{"allocation":32,"interventionModel":33,"interventionModelDescription":24,"primaryPurpose":34,"observationalModel":24,"timePerspective":24,"maskingInfo":35},"RANDOMIZED","PARALLEL","TREATMENT",{"masking":36,"maskingDescription":24,"whoMasked":37},"SINGLE",[38],"OUTCOMES_ASSESSOR","This is a prospective, randomized, single-center clinical trial conducted in a Department of Anesthesiology and Reanimation. Randomization is performed using the sealed-envelope method. A total of 110 patients (55 per group) aged 18-90 years, American society of anesthesiologists physical status I-III, scheduled for elective hand, wrist, or forearm surgery under ultrasound-guided regional anesthesia will be enrolled.\n\nGroup 1 (Classic Axillary Block) receives an ultrasound-guided block targeting the median, ulnar, and radial nerves perineurally\u002Fperivascularly within the axillary sheath. Group 2 (Interfascial Axillary Block) receives an ultrasound-guided injection of local anesthetic into the potential fascial planes between the axillary muscles, relying on passive diffusion.\n\nThe primary outcome is surgical anesthesia adequacy (block success). Secondary outcomes include block application time, sensory and motor block onset, rates of additional local infiltration and conversion to general anesthesia, intraoperative additional analgesic\u002Fsedation requirements, hemodynamic parameters, patient and surgeon satisfaction, and complications.",[41,47],{"label":42,"type":43,"description":44,"interventionNames":45},"Classic Axillary Block","ACTIVE_COMPARATOR","Ultrasound-guided classic axillary brachial plexus block. The median, ulnar, and radial nerves within the axillary sheath around the axillary artery are targeted individually by perineural\u002Fperivascular injection of local anesthetic.",[46],"Procedure: Classic Axillary Block",{"label":48,"type":43,"description":49,"interventionNames":50},"Interfascial Axillary Block","Ultrasound-guided interfascial axillary block. Local anesthetic is injected into the potential fascial planes between the axillary muscles rather than directly into the nerve sheath, allowing passive diffusion of the drug.",[51],"Procedure: Interfascial Axillary Block",[53,57],{"type":54,"name":42,"description":55,"armGroupLabels":56,"otherNames":24},"PROCEDURE","Classic (perivascular\u002Fperineural) axillary brachial plexus block",[42],{"type":54,"name":48,"description":58,"armGroupLabels":59,"otherNames":24},"Interfascial (fascial-plane) axillary brachial plexus block.",[48],[61],{"name":62,"role":63,"phone":64,"phoneExt":24,"email":65},"Korgün Ökmen, PhD.","CONTACT","05057081021","korgunokmen@gmail.com",[67],{"facility":5,"status":24,"city":68,"state":24,"zip":69,"country":70,"countryCode":24,"cosmosGeoPoint":71,"geoPoint":76,"contacts":24},"Bursa","16110","Turkey (Türkiye)",{"type":72,"coordinates":73},"Point",[74,75],29.06013,40.19559,{"lat":75,"lon":74},{"type":78,"investigatorFullName":79,"investigatorTitle":80,"investigatorAffiliation":5,"oldNameTitle":24,"oldOrganization":24},"PRINCIPAL_INVESTIGATOR","Korgün Ökmen","Principal Investigator.PhD.MD","100656290","classic-versus-interfascial-axillary-block-in-hand-wrist-and-forearm-surgery-100656290",false,"NCT07823738","Classic Versus Interfascial Axillary Block in Hand, Wrist, and Forearm Surgery","Comparison of Axillary Block and Interfascial Axillary Block in Terms of Block Success and Intraoperative Clinical Efficacy in Hand, Wrist, and Forearm Surgery: A Prospective Randomized Study","Inclusion Criteria:\n\n* Aged 18-90 years\n* American society of anesthesiologists physical status I-II-III\n* Scheduled for elective hand, wrist, or forearm surgery\n* Written informed consent obtained\n\nExclusion Criteria:\n\n* History of local anesthetic allergy\n* Coagulation disorder\n* BMI \\> 40 kg\u002Fm²\n* Infection at the block site\n* Chronic pain syndrome\n* Pregnancy\n* Inability to communicate\n* Need for emergency surgery","ALL","18 Years","65 Years",{"count":92,"type":93},110,"ESTIMATED","INTERVENTIONAL",[96],"NA","Hand, wrist, and forearm surgeries are commonly performed procedures with significant postoperative pain potential. Regional anesthesia of the brachial plexus via the axillary approach is one of the gold-standard techniques for distal upper-limb surgery. In the conventional (classic) axillary block, the median, ulnar, and radial nerves within the axillary sheath are individually targeted under ultrasound guidance; however, anatomical septations around the axillary artery may prevent homogeneous spread of local anesthetic, leading to a patchy block and reduced intraoperative success.\n\nThe interfascial axillary block is a modified approach in which local anesthetic is deposited into the fascial planes between the axillary muscles rather than directly into the nerve sheath, aiming for passive diffusion, homogeneous spread, and fewer needle manipulations. This prospective, randomized, single-center study compares the classic axillary block with the interfascial axillary block in patients undergoing hand, wrist, and forearm surgery, primarily in terms of surgical anesthesia adequacy (block success).",[99,100,101],"Nerve Block","Regional Anesthesia","Upper Extremity Surgery",[103,104,105],"axillary block","interfascial block","regional anesthesia","NOT_YET_RECRUITING","2026-09-16",{"date":109,"type":110},"2026-09-21","ACTUAL",{"date":112,"type":93},"2026-10-15",{"date":114,"type":93},"2027-09-30",{"name":5,"class":6},1]