Pain
Conditions
Keywords
Pain, Anesthesia Recovery Period, Brachial Plexus
Brief summary
The purpose of this study is to compare the supraclavicular block to interscalene block in patients undergoing arthroscopic shoulder surgery.
Detailed description
The aim of this study is to evaluate the efficacy of the supraclavicular block in comparison with interscalene block on postoperative pain, quality of recovery and side effects in patients undergoing arthroscopic shoulder surgery under general anesthesia.
Interventions
PROCEDURESupraclavicular Block
Under ultrasound guidance an insulated needle is advanced with in- plane technique into the brachial plexus sheath and 20ml 0.25% bupivacaine will be administered
PROCEDUREInterscalene Block
Under ultrasound guidance an insulated needle will be placed through the middle scalene muscle,into the interscalene groove with in-plane technique and 20ml 0.25%bupivacaine will be administered into the brachial plexus
DRUGBupivacaine
20ml 0.25% bupivacaine will be injected for brachial plexus block
DEVICEUltrasound
The Ultrasound will be used for brachial plexus visualization
Sponsors
Tokat Gaziosmanpasa University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patients undergoing shoulder surgery in American Society of Anesthesiologists physical status I-II
Exclusion criteria
* with a known allergy to study medications, * chronic opioid use, * ipsilateral upper limb neurological deficits, * severe respiratory disease, * coagulopathy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative Pain | up to postoperative 24 hours | The visual analog scale will be used for assessment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Motor block | up to postoperative 24 hours | The muscle force will be evaluated with scale 0 to 3( 0:normal muscle force, 1: reduced muscle force, 2: impaired mobility 3: paralysis |
| Sensory block | up to postoperative 24 hours | The sensorial block will be assessed by pinprick test. |
| Adverse events | up to postoperative 24 hours | The number of patients with adverse events will be recorded. |
| Quality of recovery | in the postoperative 24 hours | The Quality of Recovery-40 (QR40) questionnaire will be used for assessment |
| Systolic Blood pressure changes | at time of surgery | The blood pressure will be measured non invasively and the systolic blood pressure lower than 90 mmHg or decrease more than 20% of baseline will be accepted as a hypotension. |
| Heart rate changes | at time of surgery | The heart rate will be assessed via electrocardiographic monitoring and recorded as beat/minute. |
| Analgesics requirement time | up to postoperative 24 hours | the first intravenous analgesic requirement time will be recorded. |
Countries
Turkey (Türkiye)
Outcome results
None listed