Ultrasound-guided Versus Blind Technique in Medial Brachial Cutaneous Nerve and Intercostobrachial Nerve Blocks

Launched by CENTRAL HOSPITAL, NANCY, FRANCE · Oct 19, 2016

Keywords

ClinConnect Summary

For purposes of this single-blind monocentric study, 84 patients are randomized into two groups (42 patients for each), upon enrolment into the study.

In the first group, the blind technique is used to perform the medial brachial cutaneous nerve block and the intercostobrachial nerve block : it consists in performing a subcutaneous injection of the local anesthetic at the root of the arm, in the anterior-posterior direction.

In the second group, the ultrasound-guided technique is used to perform the medial brachial cutaneous nerve block and the intercostobrachial nerve block : ultrasounds...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Adult patients ≥ 18 years
• • Surgery of the distal upper limb : hand, forearm, lower third of the arm ,including the elbow
• • Urgent or planned surgery
• • Locoregional anesthesia : axillary brachial plexus block, completed by a medial brachial cutaneous nerve block and an intercostobrachial nerve block
• • Local anesthetic used : mepivacaine 10mg/ml
• • In the absence of patient objections
• Exclusion Criteria:
• • Pregnancy
• • Adults under guardianship
• • Locoregional anesthesia contraindications
• • Local anesthetic used : ropivacaine 0,75%