Health Condition 1: M00-M99- Diseases of the musculoskeletal system and connective tissue
Conditions
Interventions
Intervention1: Ultrasound guided upper thoracic erector spinae plane block: The procedure will be done under full aseptic precautions
the patient is best positioned in a sitting. Patient is draped from nape of neck to inferior border of scapula then the probe was placed longitudinally 2ââ?¬â??3 cm lateral to the T2 spinous process
the liver and spleen served as acoustic windows on the right and left side, respectively. Patients were scanned along the anterior axillary line and the US probe was angled cranially. HDP was defined
Sponsors
AIIMS RISHIKESH
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age >12 years of both sex 2.Patients with Open shoulder surgery/arthroscopy 3.ASA I-III
Exclusion criteria
Exclusion criteria: 1.Patient Refusal 2.Bleeding diathesis 3.Local site Infection 4.Severe systemic disease 5.Allergic to Local Anaesthesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of phrenic nerve palsy and hemi diaphragm paralysis as confirmed by Ultrasound examination of diaphragmatic movementTimepoint: Diaphragm paralysis accessed at pre block and 15 minutes and 30 minutes post procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To assess pain scores by numerical rating scale (NRS) at the end of surgery, at 6 hours, at 12 hours, at 18 hours, at 24 hours after surgery. 2.Total rescue analgesia requirement in the first 24 hours after surgery. 3.Quality of recovery score at 24 hours. 4.Complication of ESPB 5.To assess sensory loss by dermatomal mapping. 6.To assess motor blockade by using Modified Bromage scale of upper limbTimepoint: Numerical rating scale (NRS) at the end of surgery, at 6 hours, at 12 hours, at 18 hours, at 24 hours after surgery. | — |
Countries
India
Contacts
Public ContactDr Praveen Talawar
AIIMS RISHIKESH
Outcome results
None listed