Nerve Block, Tranexamic Acid
Conditions
Brief summary
Nerve blocks are used for pain and surgery after many operations today. It has been demonstrated by studies that the amount of postoperative bleeding decreases. On the other hand, surgical teams can use additional medications, such as Tranexamic acid, which have been proven by different studies that have reduced bleeding during and after arthroscopic surgery.
Detailed description
The investigators aimed to investigate the effect of interscalene block application and tranexamic acid on bleeding in shoulder arthroscopy operation.
Interventions
ultrasound guided ultrasound guided interscalene block 30 minutes before operation. 30 minutes before operation.
10 mg/kg intravenous tranexamic acid 10 minutes before the incision.
general anesthesia will be applied in accordance with standard procedures
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who were in the American Society of Anesthesiologists (ASA) I-III class * underwent elective shoulder arthroscopy * Patients with consent to participate in the study
Exclusion criteria
* history of arterial or venous thromboembolic disease * Bleeding diathesis disorder * Allergy to local anesthetics * cardiac stent placement
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| serum hemoglobin exchange | preoperative, postoperative 1st and 2nd day | change of serum hemoglobin before and after operation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postoperative bleeding amount | postoperative 24 hours | The volume of drainage |
| Visual Analog Scale | Postoperative 24 hours | Visual Analog Scale was used for pain.Pain intensity was measured using 0-10 cm visual analogue scale (VAS). (0= no pain, 10=intolerable pain) |