Systolic Blood Pressure (20% or Greater Increase)
Conditions
Keywords
Interscalene Block, Blood Pressure Change, Anterior Scalene Muscle Thickness, Hypertensive Patient
Brief summary
The primary aim of this study is to identify potential anthropometric features that predict the relationship between the Interscalene Block procedure and changes in blood pressure
Detailed description
This prospective, randomized study will be carried out after obtaining the necessary ethical approval and informed consent from the patients. 110 adult volunteer patients who will undergo ISB for shoulder surgery anesthesia will be included in this study. Evaluation of the patients before ISB and anthropometric measurements before and after Interscalene Block will be performed by an anesthesiologist who is not involved in the study.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA I-III, elective shoulder surgery will be performed
Exclusion criteria
* Presence of advanced renal or hepatic insufficiency, serious respiratory or cardiovascular disease * History of chronic opioid or benzodiazepine use * Presence of allergy to the local anesthetic drugs used * ISB contraindication (such as neurological disorder in the extremity to be operated on, diaphragmatic paralysis in the opposite region of the side where the intervention is planned, infection in the intervention area). * Presence of high level anxiety * Patients with a Hospital Anxiety and Depression Scale (HADS) cut-off score of 10 for the anxiety subscale and 7 or higher for the depression subscale
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Our primary aim in this study is to determine possible anthropometric features that will predict the relationship between interscalene block procedure and blood pressure change. | 60 minute | Various anthropometric measurements (such as neck diameter, neck length and anterior scalene muscle thickness) may be effective in the spread of the local anesthetic agent during ISB, and these measurements may play a role as a factor in the blood pressure change associated with ISB. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The secondary aim of this study is to reveal the relationship between interscalene block and heart rate. | 60 minute | Various anthropometric measurements (such as neck diameter, neck length and anterior scalene muscle thickness) may be effective in the spread of the local anesthetic agent during ISB, and these measurements may play a role as a factor in the heart rate change associated with ISB. |
Countries
Turkey (Türkiye)