Tourniquet Pain Prevention During Distal Upper Limb Surgery
ConditionAnalgesia
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21-64
SponsorZagazig University
About this trial
Post-tourniquet pain remains a common problem. It disturbs the quality of anesthesia during brachial plexus block for distal upper-limb surgery. Current evidence shows that adding an intercostobrachial nerve block using the landmark-based technique can improve analgesia for medial upper-arm procedures.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Elective unilateral distal upper-limb surgery (hand, wrist or forearm) with use of pneumatic upper-arm tourniquets under ultrasound-guided brachial plexus block.
Disqualifiers
Coagulopathy or therapeutic anticoagulation.
Local infection at injection sites.
Chronic opioid dependence.
Trial design
Design model
Parallel
Treatments tested in this trial
Selective ultrasound guided Intercostobrachial nerve block
Procedure/SurgeryThe patient will be positioned supine with the ipsilateral arm abducted. The ultrasound transducer will be positioned in the axilla along the mid-axillary line to visualize the thoracodorsal artery and vein and the fascia between the latissimus dorsi and serratus anterior muscles. The Intercostobrachial nerve often appears as a small hyperechoic structure lateral to the thoracodorsal vessels.
Serratus anterior plane block
Procedure/SurgeryThe ultrasound transducer will be placed at the mid-axillary line at the level of the fourth or fifth rib to identify and inject a local anaesthetic drug in the plane between the latissimus dorsi and serratus anterior muscles.
Treatment groups
90 Participants
are divided into 2 treatment groupsGroup A: Selective ultrasound guided Intercostobrachial nerve blockActive comparator 1 intervention
Group B: Serratus anterior plane blockActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Tourniquet pain degree
The visual analogue score of tourniquet pain at the end of first 60 minutes of tourniquet inflation with score 10 indicates worst pain and score 0 indicates no pain.
Time frame
The first 60 minutes of tourniquet inflation.Secondary outcomes
1
Duration of tourniquet application.
The time from tourniquet inflation to tourniquet deflation.
Time frame
The first 2 hours intraoperative.Locations
Sponsors and contacts
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Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: