Comparing two methods for placing nerve catheters in hand surgery
A Comparison Between a Paracoracoid Approach and a Costoclavicular Approach for the Placement of Infraclavicular Perineural Catheters in Hand Surgery: a Prospective Randomized Controlled Trial.
NA · Centre hospitalier de l'Université de Montréal (CHUM) · NCT04960046
This study is testing two different ways to place nerve catheters in patients having hand surgery to see which method works better for pain relief after the procedure.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 134 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Centre hospitalier de l'Université de Montréal (CHUM) (other) |
| Locations | 1 site (Montréal, Quebec) |
| Trial ID | NCT04960046 on ClinicalTrials.gov |
What this trial studies
This study aims to compare the effectiveness of two approaches for placing infraclavicular perineural catheters in patients undergoing outpatient hand surgery. Participants will be randomly assigned to receive either the paracoracoid (PC) or costoclavicular (CC) approach for their nerve block. The primary goal is to determine which method provides better sensory block 48 hours after catheter placement. The study will involve continuous delivery of local anesthetic through the catheter to manage postoperative pain effectively.
Who should consider this trial
Good fit: Ideal candidates are adults over 18 years old undergoing elective ambulatory hand surgery that requires a continuous infraclavicular nerve block.
Not a fit: Patients with contraindications to peripheral nerve blocks, those unable to consent, or those with certain medical conditions may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved pain management for patients undergoing hand surgery, enhancing their recovery experience.
How similar studies have performed: While the specific comparison of these two approaches may be novel, similar studies on infraclavicular nerve blocks have shown promising results in improving postoperative pain management.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients over 18 years old * American Society of Anesthesiologists' classification 1 to 3 * Patients undergoing elective ambulatory hand surgery requiring the use of continuous infraclavicular nerve block Exclusion Criteria: * Contraindication to a peripheral nerve block * Refusal of the patient or inability to consent * Inability to communicate with the healthcare team or the research team * Lack of access to the Teams telehealth platform * Inability to understand the items of the different questionnaires * Inability to understand ambulatory catheter follow-up instructions * Pregnancy * Obesity Body Mass Index \> 40 * Pre-existing neurological deficit in the operated upper limb * Anatomical malformation not allowing one of the study blocks to be performed * Condition preventing measurement of the primary outcome
Where this trial is running
Montréal, Quebec
- Centre hospitalier de l'Université de Montréal (CHUM) — Montréal, Quebec, Canada (RECRUITING)
Study contacts
- Principal investigator: Maxim Roy, MD, FRCPC — Centre hospitalier de l'Université de Montréal (CHUM)
- Study coordinator: Maxim Roy, MD, FRCPC
- Email: maxim.roy20@gmail.com
- Phone: 5148908000
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.
Conditions: Postoperative Pain, Anesthesia, Local, Infraclavicular perineural catheters, Hand surgery