Does a Low Volume Ultrasound-Guided Technique Reduce Common Complications of Interscalene Brachial Plexus Block?
NCT00497354 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 38
Last updated 2010-06-15
Summary
Peripheral nerve blocks provide many advantages for patients (excellent pain control and reduction in nausea) undergoing upper and lower limb surgery however several commonly occurring complications can produce annoying but sometimes serious adverse effects. The interscalene brachial plexus block (ISBPB) is one such technique, commonly performed for shoulder surgery, but also produces paralysis of the diaphragm, Horner's syndrome and sometimes vocal cord paralysis with standard volumes of local anesthetic. This threat of these side effects limits the use of ISBPB in many patients who would particularly benefit e.g. patients with lung disease. Recently the use of ultrasound guidance is allowing practitioners to place smaller volumes of local anesthetic with much greater accuracy. This can potentially avoid anesthetizing important adjacent nerves to the target structure. If ultrasound-guided techniques with smaller volumes of local anesthetic could be demonstrated to reduce the incidence of complications without reducing effectiveness this would be very beneficial for patients.This will be the first randomized, double blind study to evaluate if an ultrasound-guided ISBPB with low volumes of local anesthetic can reduce complications for patients whilst maintaining quality of anesthesia and pain relief in the intra-operative and postoperative period.
Conditions
- Pain After Shoulder Surgery
Interventions
- DRUG
-
Variation in volume of local anesthetic
- PROCEDURE
-
Ultrasound-guided interscalene brachial plexus block
Sponsors & Collaborators
-
Sunnybrook Health Sciences Centre
lead OTHER
Principal Investigators
-
Colin JL McCartney, FRCA · Sunnybrook Health Sciences Centre
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2007-07-31
- Completion
- 2007-12-31
Countries
- Canada
Study Locations
More Related Trials
-
Ultrasound-guided Interscalene Brachial Plexus Block: Single Bolus Vs Continuous Catheter Placement in Arthroscopic Rotator Cuff Repair
NCT06855381 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Suprascapular and Axillary Blocks Versus Interscalene Block for Shoulder Surgery
NCT02517437 ·Status: COMPLETED ·Phase: PHASE4
-
Ultrasound Guidance for Interscalene Brachial Plexus Block
NCT00702416 ·Status: COMPLETED ·Phase: PHASE4
-
Effectiveness of Interscalene Brachial Plexus Block and Intra-articular Injection of Ropivacaine for Post-operative Analgesia in Arthroscopic Shoulder Stabilization Surgery
NCT01589354 ·Status: UNKNOWN ·Phase: NA
-
Ultrasound-Guided Axillary Brachial Plexus Block: Influence of Obesity
NCT02033265 ·Status: COMPLETED
-
Ultrasound-guided PENG Block for Shoulder Surgery
NCT05072223 ·Status: UNKNOWN ·Phase: NA
-
Interscalene vs. Superficial Cervical Block vs. Combination for Analgesia After Clavicle Fracture
NCT03094481 ·Status: UNKNOWN ·Phase: NA
-
Description of the Brachial Plexus Block at the Humeral Head in Children: a Sono-anatomical Study
NCT06158243 ·Status: NOT_YET_RECRUITING
-
Parasagittal Vs Cornerpocket Approaches
NCT06352333 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Distance for Interscalene Block
NCT01568463 ·Status: COMPLETED
-
is There an Alternative to Ultrasound Guided Interscalene Block?
NCT02397330 ·Status: UNKNOWN ·Phase: NA
-
Interscalene Block Versus Combined Supraprascapular: Axillary Nerve Blocks
NCT02916342 ·Status: COMPLETED ·Phase: PHASE4
-
The Effectiveness of Different Techniques of Interscalene Brachial Plexus Block With General Anesthesia for Shoulder Arthroscopy
NCT04941235 ·Status: COMPLETED ·Phase: NA
-
Ultrasound-Guided Extrafascial Versus Intrafascial Interscalene Brachial Plexus Block in Shoulder Arthroscopy
NCT05222334 ·Status: UNKNOWN ·Phase: NA
-
The Retroclavicular Approach for Regional Anesthesia
NCT01852396 ·Status: COMPLETED ·Phase: PHASE4
-
Superficial Cervical Plexus Block With Either Clavipectoral Fascial Plane Block or Interscalene Brachial Block for Clavicle Surgeries Anesthesia
NCT06831604 ·Status: RECRUITING ·Phase: NA
-
Posterior Parasagittal In-Plane Ultrasound-Guided Infraclavicular Brachial Plexus Block
NCT02312453 ·Status: COMPLETED ·Phase: NA
-
SSNB in Hemiplegic Shoulder Pain
NCT00732589 ·Status: COMPLETED ·Phase: PHASE2
-
Use of Ultrasound in Upper Extremity Blocks.
NCT00221884 ·Status: COMPLETED ·Phase: NA
-
Ultrasound-guided Selective Shoulder Block Versus Ultrasound-guided Interscalene Brachial Plexus Block, an RCT
NCT02415088 ·Status: COMPLETED ·Phase: NA
-
Incidence Of Hemidiaphragmatic Paralysis After Usg Guided Low Dose Interscalene Brachial Plexus Block
NCT03081728 ·Status: COMPLETED ·Phase: NA
-
Impact of Interscalene Block Combined With General Anesthesia on Burst Suppression in Shoulder Surgery Patients
NCT07081672 ·Status: COMPLETED ·Phase: NA
-
Diaphragm Sparing Effect of Subomohyoid Block With Infraclavicular or Subscapularis Blocks in Comparison With Interscalen Block for Postoperative Analgesia in Shoulder Surgeries
NCT05920421 ·Status: COMPLETED ·Phase: NA
-
Effect of Local Anaesthetic Volume on Axillary Brachial Plexus Block Duration
NCT03163472 ·Status: COMPLETED ·Phase: NA
-
Diaphragmatic Paralysis After Ultrasound Block of the Suprascapular Nerve for Shoulder Surgery
NCT03352687 ·Status: COMPLETED ·Phase: NA