Erector Spinae Plane Block, Interscalene Block, Randomized Controlled Trial, Shoulder Arthroscopy Anesthesia
Conditions
Brief summary
The aim of this study is to compare the effectiveness of interscalene brachial plexus block alone versus interscalene brachial plexus block +Erector spinae plane block 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 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.
Interventions
OTHERinterscalene with Erector spinae plane block group
patients will receive interscalene brachial plexus block using 10 ml of bupivacaine 0.5% and US guided Erector spinae plane block at T2 using 10 ml of bupivacaine 0.5%.
OTHERInterscalene group
patients will receive interscalene brachial plexus block using 15 ml of bupivacaine 0.5%.
Sponsors
Tanta University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Aged 18-65 years * Both genders, * BMI \< 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 | Intraoperative up to 4 hours | If the patient complains of pain during surgery, fentanyl will be administered 1 µg/kg IV increments. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Amount of 24hrs postoperative rescue analgesic consumption | 24 hours postoperatively | Intravenous meperidine (0.5 mg/kg) will be administered if numerical pain rating scale (NRS) score of more than 3. |
| Degree of pain by Numerical pain rating scale | 24 hours postoperatively | Postoperative pain (using NRS at admission) will be measured at PACU, 1h, 2hr. 4hr, 6hr, 8hr, 12hr, 18hr, and 24hrs postoperative. NRS (0 represents no pain while 10 represents the worst pain imaginable). |
| Time to first request of rescue analgesia. | 24 hours postoperatively | 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. |
Countries
Egypt
Outcome results
None listed