SPARK Study - Sympathetic Periarterial Radial Block in Healthy Volunteers
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Lidocaine 2%.
- Who it may be relevant to
- Registry conditions: Healthy Volunteers, Sympathetic Activity. Basic parameters: 18 years — 50 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
SPARK Study - Sympathetic PeriArterial Radial blocK Study
Overview
The SPARK Study evaluates changes in peripheral sympathetic vasomotor activity following a targeted, ultrasound-guided periarterial sympathetic block of the distal radial artery in healthy volunteers. Autonomic reactivity will be assessed before and after the block using digit-specific pulse-amplitude index and infrared thermography during standardized cold pressor testing.
Interventions
- Drug Lidocaine 2%
Small-volume injection (5 mL) of 2% lidocaine around radial artery under ultrasound guidance.
Primary outcome measures
- Pulse amplitude index (PAI) [Time frame: PAI will be measured at: 1) Baseline; 2) after the first cold pressor test at 0, 5, 10, and 15 minutes; 3) after the sympathetic block at 5 and 10 minutes; 4) after the second cold pressor test at 0, 5, 10, and 15 minutes.]
- Hand temperature [Time frame: Thermal images will be obtained at: 1) Baseline; 2) after the first cold pressor test at 0, 5, 10, and 15 minutes; 3) after the sympathetic block at 5 and 10 minutes; 4) after the second cold pressor test at 0, 5, 10, and 15 minutes.]
Secondary outcome measures (3)
- Temporal Changes in Cold Pressor Test-Induced Vasomotor Responses Pre- and Post-Block [Time frame: Data will be obtained at: 1) Baseline; 2) after the first cold pressor test at 0, 5, 10, and 15 minutes; 3) after the sympathetic block at 5 and 10 minutes; 4) after the second cold pressor test at 0, 5, 10, and 15 minutes.]
- Change in Vasomotor Measures in the Fifth Finger [Time frame: PAI and thermal images will be measured at: 1) Baseline; 2) after the first cold pressor test at 0, 5, 10, and 15 minutes; 3) after the sympathetic block at 5 and 10 minutes; 4) after the second cold pressor test at 0, 5, 10, and 15 minutes.]
- Change in Vasomotor Measures in the Contralateral Index Finger [Time frame: PAI and thermal images will be measured at: 1) Baseline; 2) after the first cold pressor test at 0, 5, 10, and 15 minutes; 3) after the sympathetic block at 5 and 10 minutes; 4) after the second cold pressor test at 0, 5, 10, and 15 minutes.]
Eligibility criteria
Inclusion criteria
- Age 18-50 years
- ASA physical status I-II
- Able to understand and provide informed consent
- Able to comply with study procedures and follow-up
- Two hands with 5 intact digits and no significant upper extremity injury
Exclusion criteria
- Allergy to lidocaine or similar anesthetics
- Allergy to adhesives or ultrasound gel
- Neuromuscular, autonomic, or major vascular disorders affecting upper extremities
- Peripheral neuropathy
- Raynaud's phenomenon or digital ischemia
- Coagulopathy or anticoagulation
- Active skin infection near block site
- Pregnancy
- BMI > 35 kg/m²
- Inability to tolerate cold exposure
- Any condition interfering with study conduct
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Basic science
Study locations
United States · 1 center
- Duke University Medical Center — Durham
Identifiers
NCT: NCT07429292 · Pro00119632