An interventional study of US-guided periarterial techique and US-guided multi-injection technique in Contusion Wrist or Hand and Crush Injury Wrist or Hand, sponsored by North American Institute for Continuing Medical Education (NAICE). Completed at 1 site in Belgium. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2016-08-29.
Sponsored by North American Institute for Continuing Medical Education (NAICE) · Not applicable, Interventional, and Treatment
In the transarterial technique for axillary brachial plexus block, the axillary artery is intentionally punctured to indicate placement of the needle within the neurovascular sheath; local anesthetic is then injected deep and superficial to the axillary artery.
To lessen the risk for hematoma and intravascular injection, several modifications, such as the multi-injection perineural technique, have become popular. These techniques require a high degree of technical skill and multiple needle passes, and also carry potential for injury. In this study, the investigators will compare an ultrasound-guided equivalent of the transarterial technique (periarterial injections) to a commonly used multi-injection perineural technique.
43 studies on the registry are indexed under Contusions; 8 are open to participants now.
This study's enrollment of 50 is below the median of 90 across 31 interventional studies indexed under Contusions.
Browse Contusions studies →North American Institute for Continuing Medical Education (NAICE) is the lead sponsor of 2 studies on the registry; none are open to participants now.
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Patients with pre-existing neuropathy
Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.
ASA physical status
The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Axillary brachial plexus block by an ultrasound-guided periarterial technique
Procedure: US-guided periarterial techique
Ultrasound-guided multi-injection perineural technique for axillary brachial plexus
Procedure: US-guided multi-injection technique
The needle will be inserted in the axillary fossa in-plane (cranial to caudal) close to the intersection of the pectoralis and biceps muscles. Two separate injections of local anesthetic will be made deep and superficial to the axillary artery
The median, ulnar and radial nerves will be identified by ultrasound. Local anesthetic will be injected adjacent to each nerve
Block procedure time for the axillary brachial plexus block
Time frame: time of the block achievement will be recorded up to 15 minutes
Onset of the block
Time frame: outcome measure will be measured up to 30 minutes a
Time to request pain medication
Time frame: participants will be followed for 3 days
Block success rate
Time frame: participants success or block failure within 24 hours
This study is completed, as verified in Aug 2016. You cannot join it, but the record below documents what was studied.
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North American Institute for Continuing Medical Education (NAICE)