Blocking specific nerves for better pain control in upper arm surgery
What is the Best Approach for Blocking Intercostobrachial and Medial Brachial Cutaneous Nerves in the Upper Arm Surgery? Ultrasound as an Alternative to Blind Infiltration
This study is testing two different ways to block pain for patients having upper arm surgery to see which method works better for numbing the area.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 140 (estimated) |
| Ages | 18 Years to 85 Years |
| Sex | All |
| Sponsor | University Tunis El Manar Academic / other |
| Locations | 1 site (Tunis) |
| Trial ID | NCT05864872 on ClinicalTrials.gov |
What this trial studies
This clinical trial investigates the effectiveness of two different approaches to nerve blocks for patients undergoing upper arm surgery. It compares a conventional method of subcutaneous infiltration with an ultrasound-guided technique that targets the Medial Brachial Cutaneous nerve and Intercostobrachial nerve. The goal is to improve anesthesia in areas that are typically inadequately covered by standard brachial plexus blocks. Patients will be monitored throughout the procedure, and local anesthetics will be administered based on the assigned group.
Who should consider this trial
Good fit: Ideal candidates are adults over 18 years old, classified as ASA physical status 1, 2, or 3, and scheduled for upper limb surgery.
Not a fit: Patients with allergies to the study drugs, local infections, coagulation disorders, or neurological/psychological issues may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could lead to improved pain management and comfort for patients undergoing upper arm surgeries.
How similar studies have performed: While the specific combination of nerve blocks in this study may be novel, similar approaches using ultrasound-guided techniques have shown promise in improving anesthesia outcomes in other studies.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patient belonged to (ASA) physical status 1 2 3, aged more than 18 years old and scheduled for surgery of the upper limb (hand, forearm, elbow, and anteromedial and posteromedial arm). Exclusion Criteria: * Patients refusal, any allergy to the study drugs, local infection at any of the puncture sites, any coagulation disorder, or any neurological or psychological problem which may have affected proper subjective interpretation of the results.
Where this trial is running
Tunis
- Kaabachi — Tunis, Tunisia (Recruiting)
Study contacts
- Study coordinator: Olfa Kaabachi, Md
- Email: olfa.kaabachi@gnet.tn
- Phone: 216 98317381
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.