Pain after outpatient arthroscopic shoulder surgery regional anesthesia for postoperative analgesia
Conditions
Interventions
Group 1: ultrasound-guided interscalene brachial plexus block
Group 2: ultrasound-guided anterior suprascapular nerve block
Sponsors
Acqua Klinik Leipzig, Anästhesie
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: All patients scheduled for ambulatory arthroscopic shoulder surgery under general anaesthesia with an American Society of Anesthesiologists (ASA) physical status classification score between 1 and 3 were included consecutively in the trial. Patients had to be over 18 years of age. Written informed consent.
Exclusion criteria
Exclusion criteria: Patients were excluded if they were allergic to the local anaesthetic, had coagulation disorders, diabetes mellitus, anatomical anomalies, neuropathies, a body mass index > 35 kg/m2 or were pregnant.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measures of this study were 1) the quality of pain control (numerical rating scale, NRS, at rest, with 0 = no pain, 10 = worst imaginable pain), and 2) and the intensity of motor block of the hand, assessed using the Modified Medical Research Council Scale for measuring hand muscles strength, cf. Brandsma JW, Schreuders TA: Sensible manual muscle strength testing to evaluate and monitor strength of the intrinsic muscles of the hand: a commentary. J Hand Ther 2001; 14:273-8, grade 1 = no motion / palpable muscle contraction only, grade 2 = reduced motion / no muscle resistance, Grad 3 = full motion / no muscle resistance, Grad 4 = full motion / reduced muscle resistance, Grad 5 = full motion / normal muscle resistance. Data was assessed prior to the operation as well as 10 min, 30 min, 240 min and 1440 minutes after the operation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes included the proportion of patients with considerable pain (NRS>3), dose of the opioid Piritramid in the post-anaesthesia care unit and number of Ibuprofen tablets taken in the first 24 hours. Further secondary outcomes were patient satisfaction, whether patients would recommend the regional anaesthesia technique received to friends or family. Patients were asked to rank their satisfaction with pain control and were about how strongly they would recommend the regional anesthesia to friends or family, both on a 5 point Likert scale. We also recorded complications. | — |
Countries
Germany
Contacts
Public ContactMartin Wiegel
Acqua Klinik Leipzig, Anästhesie
Outcome results
None listed