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CompletedNCT04697836Updated Jan 6, 2021

Cervical Plexus Block Combined With Translaryngeal Block for Tracheostomy

An interventional study of ST in Regional Anesthesia Morbidity, sponsored by Namik Kemal University. Completed at 1 site in Turkey. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2021-01-06.

Sponsored by Namik Kemal University · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Mar 2020, registered Dec 2020).
Phase
Not applicable
Study type
Interventional
Enrollment
29
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
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Study summary

Current healthcare delivery models emphasize enhanced postoperative recovery (ERAS) with minimal morbidity and shorter hospital stays. Most tracheostomy cases are tumour patients. The more the patients have difficulty in breathing, the more difficult it is to anaesthetize them. Adequate intraoperative anaesthesia and postoperative analgesia with minimal sedation play an essential role in this patient model. In tracheostomy patients, moving away from the general anaesthesia option increases airway safety, and avoiding the local anaesthesia option in the incision area increases patient comfort. The purpose of this study is to assess the safety and efficacy of regional anaesthesia in tracheostomy patients.

Read the detailed description

after being informed and about the study and potential risks, all patients giving written informed consent will undergo 24 hours screening period to determine the eligilibity for study entry. After a computer-generated randomization list with a 1:1 intergroup ratio, ensuring equal distribution in the two groups, 30 opaque sealed envelopes numbered 1-30 were prepared. The patients were randomly divided into the Group with bilateral CPB with 15 ml 0.5% bupivacaine or the patients with translaryngeal block with 5 ml 2% lidocaine in addition to bilateral CPB.

CPB: cervical plexus block.

02

Conditions studied

  • Regional Anesthesia Morbidity

Keywords

  • Regional Anesthesia
  • Tracheostomy
  • Ultrasound
03

In context

Lead sponsor

Namik Kemal University is the lead sponsor of 57 studies on the registry; 17 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Being in the age range of 18-65, with American Society of Anesthesiology (ASA) classification I-III and scheduled for elective or emergency tracheostomy.
  • A sufficient level of education to understand the study procedures and agree to participate in the study

Exclusion criteria

Exclusion Criteria:

  • inability to cooperate
  • dementia,
  • allergy to local anesthetics and opioids
  • regular daily opioid requirements
  • abuse of alcohol or medication
  • local infection at the site of injection or systemic infection,
  • pregnancy.
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
29 participants (actual)

Study arms

  • Experimental
    ST (superficial cervical plexus block combined with Translareyngeal block)

    Superficial cervical plexus block combined with Translareyngeal block Group.

    Procedure: ST

  • Active comparator
    S (superficial cervical plexus block)

    Superficial cervical plexus block Group

    Procedure: ST

Interventions

  • ProcedureST

    After a computer-generated randomization list with a 1:1 intergroup ratio, ensuring equal distribution in the two groups, 30 opaque sealed envelopes numbered 1-30 were prepared. The patients were randomly divided into the Group with bilateral CPB with 15 ml 0.5% bupivacaine or the patients with translaryngeal block with 5 ml 2% lidocaine in addition to bilateral CPB. Following inclusion, two research assistants, with no further involvement in the study, prepared 15mL syringes and 5 ml syringes according to the envelope's specifications. The syringes were marked with the patient's randomization number. All other investigators, staff, and patients were blinded to group allocations. Before surgery, the patients were transferred to the specified block room area monitored with 3-lead electrocardiography, pulse oximetry, and non-invasive blood pressure. All patients had two intravenous cannula lines, and then bilateral CPB block procedures were performed in awake non-sedated patients.

06

What researchers measure

Primary outcomes

  1. pain score (NRS)

    A numerical rating scale (NRS) requires the patient to rate their pain on a defined scale. For example, 0-10 where 0 is no pain and 10 is the worst pain imaginable

    Time frame: 24 hours

  2. pain related to incision

    A numerical rating scale (NRS) requires the patient to rate their pain on a defined scale. For example, 0-10 where 0 is no pain and 10 is the worst pain imaginable

    Time frame: 24 hours

  3. Patient tolerance as assessed by tracheostomy cannula comfort score

    1. = No reaction 2. = Slight grimacing 3. = Heavy grimacing 4. = Defensive movement of hands 5= Flexion of the head with defense

    Time frame: 24 hours

  4. cough and gag score

    1. = None 2. = Slight 3. = Moderate 4. = Severe

    Time frame: 24 hours

  5. nausea and vomiting

    YES/NO

    Time frame: 24 hours

  6. time to first analgesic demand

    Time of first analgesic need within the first 24 hours 0: within the first 12 hours 1: 12-24 hours

    Time frame: 24 hours from the pacu

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Study locations

1 site
  • Namık Kemal University
    Tekirdağ, Süleymanpaşa 59100, Turkey
08

References and documents

Publications

  • Mehta AB, Syeda SN, Bajpayee L, Cooke CR, Walkey AJ, Wiener RS. Trends in Tracheostomy for Mechanically Ventilated Patients in the United States, 1993-2012. Am J Respir Crit Care Med. 2015 Aug 15;192(4):446-54. doi: 10.1164/rccm.201502-0239OC. PubMed 25955332 ↗
  • Bradley PJ. Treatment of the patient with upper airway obstruction caused by cancer of the larynx. Otolaryngol Head Neck Surg. 1999 May;120(5):737-41. doi: 10.1053/hn.1999.v120.a90043. PubMed 10229602 ↗
  • Freeman BD. Indications for and management of tracheostomy. In: Vincent JL, Abraham E, Moore FA, et al, editors. Textbook of critical care. 6th edition. Phila- delphia: Elsevier/W. B. Saunders; 2011. p. 369-72
  • Moorthy SS, Gupta S, Laurent B, Weisberger EC. Management of airway in patients with laryngeal tumors. J Clin Anesth. 2005 Dec;17(8):604-9. doi: 10.1016/j.jclinane.2004.12.019. Erratum In: J Clin Anesth. 2006 Mar;18(2):163-4. PubMed 16427530 ↗
  • Kim JS, Ko JS, Bang S, Kim H, Lee SY. Cervical plexus block. Korean J Anesthesiol. 2018 Aug;71(4):274-288. doi: 10.4097/kja.d.18.00143. Epub 2018 Jul 4. PubMed 29969890 ↗

Study documents

  • Study protocol · Oct 27, 2020
  • Statistical analysis plan · Oct 27, 2020

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — Demographic and clinical features of the study groups.

Supporting information: Study protocol, Sap, Icf, Csr, Analytic code

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 6, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04697836
Lead sponsor
Namik Kemal University
Responsible party
Ayhan ŞAHİN (Asistant Prof, Namik Kemal University) — Principal investigator
First posted
Jan 6, 2021
Start date
Mar 1, 2020
Primary completion
Nov 25, 2020
Completion
Nov 25, 2020
Last update
Jan 6, 2021

Study contacts

AYHAN ŞAHİN
study director · Clinical Director

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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