Rectroclavicular Block in Orthopedic Surgey
Adding Ketamine as Adjuvant in Retroclavicular Block in Upper Limb Orthopedic Surgey
New Valley University
80 participants
Apr 1, 2026
INTERVENTIONAL
Conditions
Summary
The ultrasound-guided retroclavicular approach to the infraclavicular region (RAPTIR) brachial plexus block has gained popularity as a relatively easy-to-perform nerve block that provides reliable and dense anesthesia to the upper extremity with a single injection. The block has been well described in the anesthesia community since it was first introduced by Hebbard and Royse in 2007 . In 2017, Luftig first described the block's use in the ED setting for a variety of indications . This nerve block has classically been described to provide extensive anesthesia for procedures distal to the shoulder, such as elbow dislocations, distal radius fractures, and surgical procedures.
Eligibility
Inclusion Criteria1
- Patients undergoing upper limb orthopedic surgery,
Exclusion Criteria7
- \- Contraindications to regional block (coagulopathy, infection at the needle insertion site, or diaphragmatic paralysis).
- Altered conscious level.
- Pregnancy.
- Body mass index (BMI > 35).
- Patients who have difficulty understanding the study protocol.
- Patients who have any known contraindication to study medications.
- Patient refusal.
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Interventions
retrocalvicular block in upper limb orthopedic Surgey
Locations(1)
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NCT06406647