{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:30:37Z","timestamp":1786728637968,"version":"build-2736575974"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Aims:<\/jats:title>\n                    <jats:p>Perineural catheters inserted through the costoclavicular (CC) technique of infraclavicular brachial plexus are helpful for postoperative analgesia. This trial compared postoperative local anaesthetic (LA) consumption in an ultrasound (US)-guided perineural catheter inserted by the CC technique with the conventional lateral sagittal (LS) technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Eighty American Society of Anesthesiologists (ASA) I\/II patients scheduled for upper limb orthopaedic surgery were randomly assigned to receive a perineural catheter by either the CC technique (Group CC) or LS technique (Group LS). Postoperatively, all patients received patient-controlled regional analgesia (PCRA): bolus-only regime with 0.125% bupivacaine 6 ml and a lock-out interval of 20 minutes. The primary outcome was the 24 h LA consumption. The secondary outcomes were time of activation of PCRA, pain scores, patient satisfaction scores, and block-related complications. Categorical variables are presented as frequency, while continuous variables are expressed as mean [standard deviation (SD)] or median [interquartile range (IQR)]. An independent\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test or Mann\u2013Whitney U-test was used to compare these continuous variables. A\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      value less than 0.05 was considered to be statistically significant.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Patients in Group CC required less LA 24 h postoperatively (P &lt; 0.001) and more time to activate PCRA (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.003). The mean 24 h LA requirement was 83.35 (SD: 31.92) in Group CC as compared to 121.40 (SD: 48.51) ml in Group LS. They also reported better satisfaction scores (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.001). Pain scores were comparable at all time points. Postoperatively, one patient in Group CC complained of paraesthesia, which subsided on removal of the catheter.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Patients receiving post-operative analgesia by the CC catheter require lesser 24 h LA and report better satisfaction than those receiving analgesia through the LS technique.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ija.ija_812_23","type":"journal-article","created":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T12:30:24Z","timestamp":1719923424000},"page":"693-698","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Costoclavicular versus lateral sagittal infraclavicular brachial plexus block for postoperative analgesia in patients undergoing upper limb orthopaedic surgery: A randomised controlled trial"],"prefix":"10.4103","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1412-9561","authenticated-orcid":false,"given":"Soumyajit","family":"Mondal","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4107-2671","authenticated-orcid":false,"given":"Chandni","family":"Sinha","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0118-2187","authenticated-orcid":false,"given":"Poonam","family":"Kumari","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9247-6713","authenticated-orcid":false,"given":"Abhyuday","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1464-6684","authenticated-orcid":false,"given":"Ajeet","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6511-9932","authenticated-orcid":false,"given":"Prabhat","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic, AIIMS, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7,2]]},"reference":[{"key":"R1-20260506","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.bpa.2019.02.002","article-title":"Percutaneous peripheral nerve stimulation and other alternatives for perineural catheters for postoperative analgesia","volume":"33","author":"Gabriel","year":"2019","journal-title":"Best Pract Res Clin Anaesthesiol"},{"key":"R2-20260506","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1097\/AAP.0b013e318203069b","article-title":"A randomized comparison of infraclavicular and supraclavicular continuous peripheral nerve blocks for postoperative analgesia","volume":"36","author":"Mariano","year":"2011","journal-title":"Reg Anesth Pain Med"},{"key":"R3-20260506","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1007\/s00540-019-02638-0","article-title":"Infraclavicular brachial plexus block in adults: A comprehensive review based on a unified nomenclature system","volume":"33","author":"Hsu","year":"2019","journal-title":"J Anesth"},{"key":"R4-20260506","doi-asserted-by":"crossref","first-page":"814","DOI":"10.4103\/aer.AER_140_18","article-title":"Topographic sonoanatomy of infraclavicular brachial plexus: Variability and correlation with anthropometry","volume":"12","author":"Kumar","year":"2018","journal-title":"Anesth Essays Res"},{"key":"R5-20260506","first-page":"rapm-2018-100055","article-title":"Randomized comparison between interscalene and costoclavicular blocks for arthroscopic shoulder surgery","author":"Aliste","year":"2019","journal-title":"Reg Anesth Pain Med"},{"key":"R6-20260506","first-page":"e14129","article-title":"Lateral sagittal versus costoclavicular approaches for ultrasound-guided infraclavicular brachial plexus block: A comparison of block dynamics through a randomised clinical 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placebo-controlled study","volume":"96","author":"Ilfeld","year":"2002","journal-title":"Anesthesiology"},{"key":"R10-20260506","doi-asserted-by":"crossref","first-page":"637","DOI":"10.4103\/ija.IJA_82_20","article-title":"Ultrasound-guided continuous costoclavicular brachial plexus block","volume":"64","author":"Kumari","year":"2020","journal-title":"Indian J Anaesth"},{"key":"R11-20260506","first-page":"347","article-title":"Ultrasound-guided continuous costoclavicular block through retrograde stimulating catheter technique for postoperative analgesia in shoulder surgery: A case series","volume":"73","author":"Diwan","year":"2023","journal-title":"Braz J Anesthesiol"},{"key":"R12-20260506","doi-asserted-by":"crossref","first-page":"e939920","DOI":"10.12659\/MSM.939920","article-title":"Ultrasound-guided brachial plexus block by costoclavicular space approach: A narrative review","volume":"29","author":"Xing","year":"2023","journal-title":"Med Sci Monit"},{"key":"R13-20260506","first-page":"825","article-title":"Ultrasound-guided infraclavicular brachial plexus block: Prospective randomized comparison of the lateral sagittal and costoclavicular approach","volume":"43","author":"Songthamwat","year":"2018","journal-title":"Reg Anesth Pain Med"},{"key":"R14-20260506","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1097\/AAP.0000000000000566","article-title":"Ultrasound-guided costoclavicular brachial plexus block sonoanatomy, technique, and block dynamics","volume":"42","author":"Li","year":"2017","journal-title":"Reg Anesth Pain Med"}],"container-title":["Indian Journal of 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History"}},{"value":"2024-05-15","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}