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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

Timeline

Screening 3 weeks

Treatment Varies

Follow Up day of surgery, after catheter placement

Awards & highlights

Study 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.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ day of surgery, 30 minutes after catheter placement

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.

0 / 2Eligibility criteria met

Find a Location

Who is running the clinical trial?

Centre hospitalier de l'Université de Montréal (CHUM)Lead Sponsor

366 Previous Clinical Trials

129,503 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

$Placement of an infraclavicular perineural catheter by paracoracoid approach (Procedure) Clinical Trial Eligibility Overview. Trial Name: NCT04960046 — N/A$

$Postoperative Pain Research Study Groups: Infraclavicular nerve block using a costoclavicular approach, Infraclavicular nerve block using a paracoracoid approach$

$Postoperative Pain Clinical Trial 2023: Placement of an infraclavicular perineural catheter by paracoracoid approach Highlights & Side Effects. Trial Name: NCT04960046 — N/A$

$Placement of an infraclavicular perineural catheter by paracoracoid approach (Procedure) 2023 Treatment Timeline for Medical Study. Trial Name: NCT04960046 — N/A$

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

Could you provide an estimate of the number of participants in this clinical experiment?

"Affirmative. Clinicaltrials.gov verifies that this research study, which was first advertised on October 25th 2021, is actively seeking trial volunteers. 134 patients are required to be enrolled from 1 medical centre."

Answered by AI

Is there still opportunity for enrolment in this research endeavor?

"The trial, initially posted on October 25th 2021 and recently updated on October 11th 2022, is still searching for participants. Clinicaltrials.gov confirms this information."

Answered by AI

Recent research and studies

clinicaltrials.govStudy

A Comparison Between a PC and a CC Approach for the Placement of Infraclavicular Perineural Catheters in Hand Surgery

2021. "A Comparison Between a PC and a CC Approach for the Placement of Infraclavicular Perineural Catheters in Hand Surgery". ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT04960046.