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OpenTrials
Completed

NCT Number: NCT04720079

Paravertebral Block With Brachial Plexus Block for Upper Arm Arteriovenous Fistula Surgery

The primary goal of this quality improvement project is to find the optimal surgical conditions for patients undergoing upper arm arteriovenous graft surgery. Currently, there are two anesthetic techniques used in clinical practice. The goal is to standardize future practice and improve the care of patients postoperatively. The two techniques used in conjunction with a brachial plexus block are paravertebral nerve block and subcutaneous infiltration.

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Key information

Conditions

Regional Anesthesia Success

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, 27599, United States

About this study

This study is designed to test the null hypothesis that paravertebral nerve block or subcutaneous infiltration provide similar operating conditions when combined with supraclavicular nerve block for upper arm arteriovenous fistula surgery. The results will help determine which approach to use and guide future research in this area.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Adult patients (>18 years) undergoing upper limb arteriovenous fistula surgery at UNC Chapel Hill hospital

Exclusion criteria

  • Contraindication to regional anesthesia
  • Significant peripheral neuropathy or neurological disorder of the upper extremity
  • Cognitive or psychiatric condition that will interfere with patient assessment

Treatment and study plan

Subcutaneous infiltration of intercostobrachial nerve

Procedure

Preoperative subcutaneous infiltration of intercostobrachial nerve with 10ml of 0.5% ropivacaine

T2 paravertebral nerve block

Procedure

Preoperative ultrasound guided T2 paravertebral nerve block with 10ml of 0.5% ropivacaine

Primary outcomes

  1. Number of Participants with Successful Regional Anesthesia

    Time frame: By end of surgery

    Success is considered a regional anesthetic without rescue analgesic medications (including surgeon administered local anesthetic) or conversion to general anesthesia

Sponsors and collaborators

Lead sponsor

University of North Carolina, Chapel Hill

Other

Registry information

Official study title

The Effectiveness of Thoracic Paravertebral Block in Improving the Anesthetic Effects of Regional Anesthesia for Upper Extremity Arteriovenous Fistula Surgery

Important dates

Study start
2020
Primary completion
2022
Study completion
2022
First posted
Jan 22, 2021
Registry last updated
May 13, 2022

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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