Shoulder disorders
Conditions
Interventions
Group ISB:Interscalene Block
Group SPSIPB:Serratus Posterior Superior Intercostal Plane Block
Sponsors
Beijing Friendship Hospital ,Capital Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Any gender, aged 18–80 years, ASA physical status I–III; 2. BMI 18–35 kg/m^²; 3. Scheduled for elective arthroscopic shoulder surgery (e.g., rotator cuff repair, labral debridement, acromioplasty); 4. The patient understands and signs the informed consent form.
Exclusion criteria
Exclusion criteria: 1.History of severe pulmonary disease (e.g., chronic obstructive pulmonary disease, phrenic nerve injury, history of lung surgery); 2.Infection, deformity, or previous surgical history at the puncture site, or pre-existing neurological dysfunction of the affected limb; 3.Allergy to local anesthetics; 4.Long-term opioid use; 5.Patients with coagulation disorders, hepatic or renal failure, or those who were pregnant or breastfeeding; 6.Patients with psychiatric disorders or other conditions that could interfere with cooperation with NRS assessment; 7.Patients undergoing revision, irrigation, or debridement surgery; 8.Patients who refused to sign the informed consent form;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain Numerical Rating Scale; | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of hospital stay;Nerve block–related functional recovery indicators;Duration of analgesia;Baseline characteristics and intraoperative variables;Incidence and severity (complete/partial/none) of hemidiaphragmatic paralysis before block, 30 minutes after block, and in the post-anesthesia care unit (PACU, 30 minutes postoperatively).;Postoperative analgesic medications;Preoperative day 1, in the post-anesthesia care unit (PACU, 30 minutes postoperatively), and at 2, 6, 12, 24, and 48 hours postoperatively, including both resting and dynamic NRS scores;MRC muscle strength score of the affected limb;Quality of Recovery-15 (QoR-15) scale;Postoperative complications;Incidence of ipsilateral complete or partial diaphragmatic paralysis; | — |
Countries
China
Contacts
Public ContactLiwei Liu
Beijing Friendship Hospital ,Capital Medical University
Outcome results
None listed