NCT04921891

Is Perfusion Index an Indicator of Block Success in Ultrasound-guided Infraclavicular Brachial Plexus Block

Comparison of Block Success in Patients Undergoing Ultrasound-guided Infraclavicular Brachial Plexus Block With Bilateral Upper Extremity Perfusion Index

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 30 (actual)
• Sponsor: Bakirkoy Dr. Sadi Konuk Research and Training Hospital · Other Government
• Sex: All
• Age: 18 Years – 75 Years
• Healthy volunteers: Not accepted

Summary

The infraclavicular nerve block, which is frequently preferred in upper extremity surgeries, provides additional advantages such as reduction in opioid consumption by providing analgesic effect in the postoperative period as welll. The success of peripheral nerve blocks is usually assessed by subjective feedback from the patient, and patient cooperation is needed. The aim of this study is to assess whether the perfusion index level, which can be measured noninvasively, can be a predictor of the infraclavicular block success.

Detailed description

Thirty patients who were operated on for carpal tunnel syndrome under infraclavicular brachial plexus block were included in our study. After the procedure, at 10-minute intervals, the sensory block was assessed by a pinprick test, and the motor block was assessed by the ability to flex the hand and the forearm. In addition, PI and skin temperature were measured 0-10-20-30 minutes after the block and at postoperative 2, 4, and 6 hours. 30 minutes after the measurements, the surgical procedure was allowed to begin in patients with successful block.

Conditions

• Carpal Tunnel Syndrome
• Perfusion Index

Interventions

Type	Name	Description
PROCEDURE	Infraclavicular nerve block	The investigators performed an infraclavicular nerve block to the operated arm group to provide anesthesia.
PROCEDURE	Without nerve block	The upper extremity without block was assigned as the control group, and a comparison was made between the two upper extremities.

Timeline

• Start date: 2014-04-15
• Primary completion: 2014-04-15
• Completion: 2014-10-30
• First posted: 2021-06-10
• Last updated: 2021-06-10

Locations

1 site across 1 country: Turkey (Türkiye)