Comparison of Lateral and Medial Approaches to Costoclavicular Brachial Plexus Block in Pediatrics
Status:
Recruiting
Trial end date:
2021-09-01
Target enrollment:
Participant gender:
Summary
In upper extremity surgeries, the brachial plexus block can be performed with different
techniques at various levels depending on the proximal and distal level of the surgery. In
this study, we aim to compare the different approaches of US guided costoclavicular
technique. Lateral approache is more common for the costoclavicular block area. However, more
needle maneuvers are needed especially in pediatric patients because of the coracoid process.
Medial approach is recommended to overcome this problem. Thus demonstrate the safety of upper
extremity blocks, which is an important part of multimodal analgesia, and to determine the
most ideal technique in the pediatric patient group who will undergo upper extremity surgery.
During the block application, the US imaging time, the difficulty level of needle imaging,
the number of maneuvers required to reach the target image, whether additional maneuvers are
required according to the local anesthetic distribution, the success of the block and the
duration of the surgery, the total application time of the block and the duration of general
anesthesia will be recorded. Mean arterial pressure and heart rate will be recorded at
30-minute intervals during the surgery. Standardized for pediatric patients The FLACC and
Wong-Baker pain scores will be followed first 24 hours after surgery. The patient will be
examined for motor and sensation, and analgesic doses will be recorded if used. Time to first
pain identification, duration of sleep, patient and surgeon satisfaction will be recorded.