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Assessing the Enhanced Precision: The Value of Impedance in Ultrasound-Guided Nerve Blocks (Axillary, Interscalene, Popliteal Sciatic), an Exploratory Prospective Observational Study

Assessing the Enhanced Precision: The Value of Impedance in Ultrasound-Guided Nerve Blocks (Axillary, Interscalene, Popliteal Sciatic), an Exploratory Prospective Observational Study

Recruiting
18-90 years
All
Phase N/A

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Overview

Impedance can have an impact on nerve block during loco-regional anesthesia, particularly when using techniques such as nerve stimulation or ultrasound guidance to locate and block specific nerves. Impedance refers to the resistance to electrical current flow within tissue, and it can affect the ability to stimulate nerves or visualize them using ultrasound. The aim of this research is to assess the impedance across different tissue type during an axillary peripheral nerve block (skin, fat, fascia, muscle, nerve). The results of this study would help clinicians performing nerve block to enhance the precision of needle placement, thus increase the success rate of nerve block and reduce adverse events such as intraneural or intravascular injections.

Eligibility

Inclusion Criteria:

  • Individuals aged 18 years to 90 years old
  • No infection at the injection site
  • Patient signed the study consent form
  • No contraindications for nerve block
  • No allergies to any of the drugs used
  • Patient able to communicate effectively

Exclusion Criteria:

  • Patients not meeting the inclusion criteria
  • Patients with bleeding disorders or undergoing anticoagulation therapy
  • Pregnant patients
  • Patients with mental incapacity
  • Any medical conditions posing severe risks during the procedure

Study details
    Impedance
    Axillary Nerve Block
    Ultrasound-Guided Nerve Blocks
    Interscalene Nerve Block
    Popliteal Sciatic Nerve Block

NCT06620471

Lebanese American University

16 October 2025

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