Arthroscopic Shoulder Surgery
Conditions
Brief summary
It is compared that combined suprascapular and infraclavicular nerve blocks to interscalene nerve block for clinical outcomes after shoulder surgery
Detailed description
In this study, the investigators planned to investigate postoperative pain, analgesic dosage, respiratory effects of the block and side effects of patients undergoing general anaesthesia after arthroscopic shoulder surgery under preoperative interscalene nerve block or suprascapular + infraclavicular nerve block.
Interventions
30 minutes before anaesthesia induction interscalene nerve block will be applied with ultrasound guidance with %0,25 bupivacain 20 cc .The sham block consisted of after patients were placed in the lateral decubitus position skin preparation, ultrasound scanning of the suprascapular region, and a dry-needling, all performed to preserve patient blinding in the ISB group patients.
30 minutes before anaesthesia induction suprascapular with %0,25 bupivacain 10 cc .and infraclavicular nerve block with %0,25 bupivacain 10 cc will be applied with ultrasound guidance
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients scheduled for elective shoulder surgery under general anesthesia with suprascapular + infraclavicular nerve block or interscalene nerve block for any reason ASA 1-3 patients
Exclusion criteria
* Diabetes * coagulopathy * local anesthetic allergy * chronic opioid users * neurological deficit of the surgical limb * obstructive or restrictive pulmoner disease * inability to understand pain scores
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative pain: numeric rating scale (NRS) | postoperative 30. minute, 4. hour, 8.hour,12. hour, 24. hour, 48. hour | postoperative pain will be evaluated by numeric rating scale (NRS) . |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| phrenic nerve paralysis evaluated with ultrasound | thirty minutes after the nerve block | Thirty minutes after the block, M-mode ultrasound examination of the ipsilateral hemidiaphragm was performed to measure diaphragmatic excursion. |
Countries
Turkey (Türkiye)