Interscalene Block, Regional Anesthesia, Shoulder Surgery
Conditions
Brief summary
Interscalene brachial plexus block is the gold standard for perioperative pain management in shoulder surgery. However, this technique would have side effects and potential serious complications. The aim of this study is to compare between the combination of ultrasound guided suprascapular and supraclavicular nerve blocks versus ultrasound guided interscalene brachial plexus block for post operative analgesia after shoulder instability surgery with latarjet procedure.
Interventions
DRUGbupivacaine
DEVICEultrasound
ultrasound guided nerve blocks
DRUGmorphine
Sponsors
Tunisian Military Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* ASA physical status I-III * 18-75 years of age, inclusive * shoulder surgery (LATARJET technique)
Exclusion criteria
* contraindications to brachial plexus block (e.g., allergy to local anesthetics, coagulopathy, malignancy or infection in the area) * existing neurological deficit * pregnancy * history of neck surgery or radiotherapy * severe respiratory disease * inability to understand the informed consent and demands of the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogic Scale | until 48 hours postoperative | quality of postoperative analgesia |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| time to perform the blocks | up to 5 minutes | — |
| patient satisfaction | 48 hours post performing nerves blocks | scale from 0 (not satisfied at all) to 100 (full satisfaction) |
| occurrence of complications | 48 hours post performing nerves blocks | — |
| total dose of morphine consumption in mg | during 48 hours post operative | — |
Outcome results
None listed