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Completed

NCT Number: NCT02112006

Comparing Two Injection Sites of Local Anesthetic for Hand Surgery

The purpose of this study is to compare two different injection sites for local anesthesia in patients having hand surgery. The hypothesis is that subjects receiving injections around the three nerves of the forearm will provide faster pain control and greater patient satisfaction than patients having one injection closer to the shoulder.

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Key information

Conditions

Hand Injury Arm Injuries Finger Injuries Finger Injury Hand Injuries Neurologic Manifestations Pain Pain, Postoperative Pathologic Processes Pathological Conditions, Signs and Symptoms Postoperative Complications Signs and Symptoms Wounds and Injuries Wrist Injuries Wrist Injury

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Ochsner Clinic Foundation

New Orleans, Louisiana, 70121, United States

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients ≥ 18 years of age undergoing unilateral hand, wrist, or finger surgery
  • Ability to understand and provide informed consent
  • American Society of Anesthesiologists (ASA) status I-III

Exclusion criteria

  • Patient refusal or inability to provide informed consent
  • True allergy, not sensitivity, to any of the following substances: Local Anesthetics, Midazolam, Fentanyl, Hydromorphone, Propofol
  • Pregnancy
  • Severe hepatic impairment
  • Evidence of infection at or near the proposed needle insertion site
  • Any sensorimotor deficit of the ipsilateral upper extremity, whether acute or chronic, as determined by the PI and designee
  • Pulmonary disease of any kind that is uncontrolled or severe in nature
  • Chronic pain patients, defined as someone diagnosed with chronic pain or a chronic pain condition, under the care of a chronic pain physician, or taking oral/intravenous narcotics consistently for 30 days prior to surgery

Treatment and study plan

0.5% bupivacaine injected in the forearm

Procedure

Median, Ulnar, and Radial nerve blocks performed in the forearm

20-30ml of 0.5% bupivacaine.

Procedure

supraclavicular, infraclavicular, or axillary nerve block using 20-30ml of 0.5% bupivacaine.

Primary outcomes

  1. success of block

    Time frame: up to 30 minutes after injection

    number of participants that needed additional anesthesia

Secondary outcomes

  1. pain scores

    Time frame: up to 10 days after surgery

    change in pain scores

Other outcomes

  1. time to complete injection

    Time frame: up to 30 minutes

    difference between the end of injection time and the beginning

Sponsors and collaborators

Lead sponsor

Jose Soberon, MD

Other

Registry information

Official study title

A Comparison Of Distal Peripheral Nerve Blockade Versus Traditional Proximal Approaches For Hand Surgery

Important dates

Study start
2014
Primary completion
2016
Study completion
2016
First posted
Apr 11, 2014
Registry last updated
Mar 22, 2016

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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