RecruitingNot ApplicableNCT07151443

Comparison of Conventional and Retroclavicular Approaches for Ultrasound-guided Infraclavicular Brachial Plexus Block

Comparison of Conventional and Retroclavicular Approaches for Ultrasound-guided Infraclavicular Brachial Plexus Block in Obese Patients

Sponsor

Ankara Etlik City Hospital

Enrollment

60 participants

Start Date

Sep 15, 2025

Study Type

INTERVENTIONAL

Conditions

Pain Management Peripheral Nerve Block

Summary

Forearm and hand surgeries are among the most frequently performed surgical interventions both in trauma patients and electively.In these procedures, alternative anesthesia methods such as general anesthesia, regional intravenous anesthesia, regional peripheral nerve blocks and local anesthesia are available. Peripheral nerve blockade can be used for anesthesia and analgesia.This method allows patients to undergo surgery without general anesthesia and increases patient satisfaction by providing effective analgesia in the postoperative period. The aim of this study was to compare the conventional and retroclavicular approaches to infraclavicular block in patients undergoing forearm and hand surgery.

Eligibility

Min Age: 18 YearsMax Age: 80 Years

Inclusion Criteria4

Patients 18-80 years of age
Those with ASA score II-III
Those with a body mass index (BMI) \>30
Patients who are suitable for forearm and hand surgery under regional anesthesia in the operating room

Exclusion Criteria3

Patients who cannot perceive and evaluate pain
Patients who want to have surgery under general anesthesia
Patients in whom regional anesthesia is contraindicated

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Interventions

PROCEDUREConventional approach to infraclavicular block

Conventional approach to infraclavicular block will be performed on the patients using 20 ml of 0.5% bupivacaine 5ml of %2 lidocaine under ultrasound guidance.

PROCEDURERetroclavicular approach to the infraclavicular block

Retroclavicular approach to the infraclavicular block will be performed on the patients using 20 ml of 0.5% bupivacaine 5ml of %2 lidocaine under ultrasound guidance.