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Procedure

Catheter Placement Techniques for Postoperative Pain in Hand Surgery

N/A
Recruiting
Led By Maxim Roy, MD, FRCPC
Research Sponsored by Centre hospitalier de l'Université de Montréal (CHUM)
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients undergoing elective ambulatory hand surgery requiring the use of continuous infraclavicular nerve block
American Society of Anesthesiologists' classification 1 to 3
Must not have
Contraindication to a peripheral nerve block
Inability to understand ambulatory catheter follow-up instructions
Timeline
Screening 3 weeks
Treatment Varies
Follow Up day of surgery, after catheter placement
Awards & highlights

Summary

This trial aims to compare the two approaches in terms of the following three primary outcomes:

Who is the study for?
This trial is for adults over 18 who need hand surgery and can have a continuous infraclavicular nerve block. They should be healthy enough as per the American Society of Anesthesiologists' classification (1 to 3). People with severe obesity, neurological issues in the arm to be operated on, or those who can't follow instructions due to language barriers or lack of access to telehealth platforms cannot join.Check my eligibility
What is being tested?
The study compares two techniques for placing pain relief catheters near nerves after hand surgery: one under the clavicle by the coracoid process (PC) and another lateral to the artery (CC). It aims to see which method provides better pain control with less local anesthetic.See study design
What are the potential side effects?
Potential side effects may include discomfort at catheter placement site, infection risk, possible nerve damage, and reactions to local anesthetics like numbness beyond treated area or allergic responses.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I am having hand surgery and will need a nerve block.
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My health is good to moderately impaired according to the ASA classification.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I cannot have a peripheral nerve block due to health reasons.
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I cannot understand instructions for using a walking catheter.
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I can communicate with my healthcare and research teams.
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I am unable or unwilling to give consent for treatment.
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I have a pre-existing nerve issue in my arm that was operated on.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~day of surgery, 30 minutes after catheter placement
This trial's timeline: 3 weeks for screening, Varies for treatment, and day of surgery, 30 minutes after catheter placement for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Secondary outcome measures
Average pain after the surgery
Maximum pain after the surgery
Minimum pain after the surgery
+13 more

Trial Design

2Treatment groups
Active Control
Placebo Group
Group I: Infraclavicular nerve block using a costoclavicular approachActive Control1 Intervention
The costoclavicular approach, more recently described, proposes an insertion of the needle under the lower edge of the clavicle but in a lateral way to the axillary artery which makes it possible to reach the nerves at a place where the 3 main nerve bundles are still joined together. The clustering of nerve structures at the injection site may facilitate the spread of local anesthetics.
Group II: Infraclavicular nerve block using a paracoracoid approachPlacebo Group1 Intervention
The paracoracoid approach involves inserting a needle under the lower rim of the clavicle below the coracoid process. This approach makes it possible to reach the 3 different nerve bundles, located around the axillary artery, which are involved in the sensitivity of the hand.

Find a Location

Who is running the clinical trial?

Centre hospitalier de l'Université de Montréal (CHUM)Lead Sponsor
370 Previous Clinical Trials
129,681 Total Patients Enrolled
5 Trials studying Postoperative Pain
420 Patients Enrolled for Postoperative Pain
Maxim Roy, MD, FRCPCPrincipal InvestigatorCentre hospitalier de l'Université de Montréal (CHUM)
1 Previous Clinical Trials
122 Total Patients Enrolled

Media Library

Placement of an infraclavicular perineural catheter by paracoracoid approach (Procedure) Clinical Trial Eligibility Overview. Trial Name: NCT04960046 — N/A
Postoperative Pain Research Study Groups: Infraclavicular nerve block using a costoclavicular approach, Infraclavicular nerve block using a paracoracoid approach
Postoperative Pain Clinical Trial 2023: Placement of an infraclavicular perineural catheter by paracoracoid approach Highlights & Side Effects. Trial Name: NCT04960046 — N/A
Placement of an infraclavicular perineural catheter by paracoracoid approach (Procedure) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04960046 — N/A
~40 spots leftby Oct 2025
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