Interscalene Block Versus Erector Spinae Plane Block for Shoulder Arthroscopy Anesthesia

Interscalene Block Versus Erector Spinae Plane Block for Shoulder Arthroscopy Anesthesia: A Randomized Controlled Trial

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT05646654

Enrollment

Registered

2022-12-12

Start date

2022-12-15

Completion date

2023-05-15

Last updated

2023-04-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Arthroscopy, Erector Spinae Plane Block, Interscalene Block

Brief summary

The aim of this study is to compare the effectiveness of ESPB versus ISB in anesthesia for shoulder arthroscopy

Detailed description

Regional anesthetic techniques can control pain effectively, both at rest and on movement, allowing earlier mobilization without the adverse effects of opioids. Among the various types of regional anesthetic techniques, the interscalene brachial plexus block (ISB) is a gold standard used nerve block technique for postoperative analgesia in patients undergoing shoulder surgery, as it has consistently been shown to significantly control. the interscalene brachial plexus block (ISB) regional anesthesia offers many advantages over general anesthesia for both arthroscopic and open surgeries of the shoulder it provides excellent intraoperative anesthesia and muscle relaxation' as well as analgesia that continues into the postoperative period

Interventions

PROCEDUREErector spinae plane block

Using a 20-gauge block needle put in-plane in a cephalad-to-caudad orientation to position the tip into the fascial plane on the deep (anterior) side of the erector spinae muscle, 20 ml bupivacaine 0.5% will be injected

PROCEDUREInterscalene brachial plexus block

Using a lateral-to-medial approach, the 25-gauge needle will be inserted into the middle scalene muscle, advanced, and placed immediately lateral to the nerve roots. the needle will be visualize using an ultrasound beam to avoid intraneural and intravascular injections. After confirming negative blood aspiration, we will inject 15 mL of 0.5% bupivacaine around the nerve roots

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

OTHER

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to 65 Years

Healthy volunteers

Yes

Inclusion criteria

* Patients with Body Mass Index \< 40 kg/m2 * American Society of Anesthesiologists (ASA) physical status I-II * scheduled for elective shoulder arthroscopy

Exclusion criteria

* Known allergy to local anesthetics * Allergy to all opioid medications * Diagnostic shoulder arthroscopic procedures * Patients with chronic opioids * Patients who converted to general anesthesia use and coagulopathy

Design outcomes

Primary

Measure	Time frame	Description
Intraoperative fentanyl consumption	30 minutes	Fntanyl will be administered 1 µg/kg IV increments.

Secondary

Measure	Time frame	Description
Postoperative pain	24 hours postoperative	numeric rating scale (NRS) (0 represents no pain while 10 represents the worst pain imaginable).
Rescue analgesia in the form of IV meperidine (0.5 mg/kg) boluses if NRS >3. Time to the 1st rescue analgesic request will be recorded	24 hours postoperative	—
Total amount of rescue analgesic	24 hours postoperative	Rescue analgesia in the form of IV meperidine (0.5 mg/kg) boluses if NRS \>3.

Countries

Egypt

Contacts

Primary ContactIslam Morsy, MD

eslam.morsy@med.tanta.edu.eg00201093387374

Backup ContactIslam Morsy