Nerve Block, Post Operative Pain, Regional Anesthesia
Conditions
Keywords
Interscalene brachial plexus block, shoulder pain, subomohyoid plane block
Brief summary
Shoulder surgery can be very painful surgery after which the use of opioids is often required. The well-known side-effects of opioids (e.g. respiratory depression, somnolence, nausea, vomiting, and pruritus) limit their use in so called 'fast track' surgery and anaesthesia programmes. the study aimed to compare the effect of sub omohyoid suprascapular nerve block versus interscalene nerve block in preventing postoperative pain and decreasing analgesic consumption in patients scheduled for shoulder surgery
Interventions
The block needle was inserted in line with the probe in a lateral-to-medial orientation toward the suprascapular nerve. Local anesthetic solution was then injected after negative aspiration for blood to achieve circumferential spread around the neurovascular bundle
The block needle is usually advanced in plane in a lateral-to-medial direction through the middle scalene muscle to contact the nerve roots and inject local anesthetic around them.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Aged 18-60 years. 2. ASA I-II. 3. Both sexes. 4. Shoulder surgery.
Exclusion criteria
1. Patient refusal 2. Allergy to local anesthetics 3. BMI \>40 kg/m2 4. Bleeding diathesis or history of anticoagulant use. 5. Psychiatric diseases. 6. Infection of the skin at the site of needle punctures area.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analogue pain score | 24 hour | pain score from 0 to 10 which mean 0 no pain and 10 the worst pain ever |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time of first analgesic request | 24 hour | the time of first demand rescue analgesia |
| Total analgesic consumption | 24 hour | total fentanyl demand |
| Incidence of any side effects | 24 hour | oxygen desaturation, pneumothorax, dyspnea, and phrenic nerve palsy, block, and opioid-related side effects |
Countries
Egypt