Comparison of costoclavicular and paracoracoid approaches for infraclavicular perineural catheter placement in outpatient hand and wrist surgeries: a randomized controlled trial
Primary resultResult — go to the resultAdjusted risk difference −1.3% 95% CI −17.5% to 15.0%Authors' conclusion
Under standardized low-rate infusion conditions, we found no evidence that the CC approach was superior to the PC approach for sensory blockade or analgesic effectiveness in ambulatory hand and wrist surgery.
Study context
- Population
- Adults undergoing ambulatory hand and wrist surgery; standardized infusion of 0.15% bupivacaine at 5 mL/hour for 48 hours
- Participants
- 139 adults
- Comparison
- CC vs paracoracoid (PC)
- CCn = 69
- PCn = 70reference
- Primary endpoint
- Successful sensory blockade in all four terminal nerve territories
- Follow-up
- 48 hours
Methodological detailsprospective, double-blind, superiority
- Prospective
- Double-blind
- Superiority
Primary result
As reported in the abstract
Adjusted risk difference
−1.3%
95% CI −17.5% to 15.0%
By group
CC vs PC
adjusted risk difference −1.3% (95% CI −17.5% to 15.0%)
Secondary outcomes
Pain scores, opioid consumption, sleep quality, patient satisfaction
- No clinically meaningful differences
Original publication
Comparison of costoclavicular and paracoracoid approaches for infraclavicular perineural catheter placement in outpatient hand and wrist surgeries: a randomized controlled trial. Reg Anesth Pain Med. Published 15 July 2026. doi:10.
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