Comparison Between Ultrasound-Guided Costoclavicular and Lateral-Sagittal Infraclavicular Brachial Plexus Blocks in Adult Distal Upper Limb Surgeries : A Randomized Controlled Trial
Ain Shams University
50 participants
Feb 16, 2026
INTERVENTIONAL
Conditions
Summary
The aim of the study is to compare the onset time of the costoclavicular approach of brachial plexus block with that of the lateral-sagittal infraclavicular approach in adults distal upper limb surgeries.
Eligibility
Inclusion Criteria3
- ASA physical status I-III
- Distal upper limb surgery requiring brachial plexus block.
- Patient approval after written and informed consent to participate.
Exclusion Criteria7
- Patient refusal.
- Allergy to drugs used.
- Infection at puncture site.
- Coagulopathy or anticoagulant therapy.
- Pre-existing neuropathy or neurological deficit in the affected limb.
- Severe pulmonary disease.
- BMI > 40 kg/m².
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Interventions
Ultrasound-guided costoclavicular brachial plexus block performed using a high-frequency linear probe. A mixture of 2% lidocaine and 0.5% bupivacaine (1:1 ratio) with a total volume of 0.3 mL/kg is injected in the costoclavicular space around the cords of the brachial plexus under real-time ultrasound guidance.
Ultrasound-guided lateral-sagittal infraclavicular brachial plexus block performed using a high-frequency linear probe. A mixture of 2% lidocaine and 0.5% bupivacaine (1:1 ratio) with a total volume of 0.3 mL/kg is injected around the cords of the brachial plexus under real-time ultrasound guidance.
Locations(1)
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NCT07517809