Pain, Postoperative, Shoulder Pain, Surgical Procedure, Unspecified
Conditions
Keywords
arthroscopic shoulder surgery, postoperative pain, interscalene brachial plexus block, infraspinatus-teres minor interfascial block
Brief summary
Postoperative pain is important following arthroscopic shoulder surgery. Postoperative effective pain treatment provides early mobilization and shorter hospital stay.Ultrasound (US)-guided brachial plexus blocks such as interscalen and supraclavicular block are usually performed. Interscalene brachial plexus block is one of the most preferred techniques among these. Due to the phrenic nerve paralysis frequently seen in interscalene block, alternative diaphragm-sparing block techniques have emerged over time. One of these is the Infraspinatus teres minor interfascial block. Infraspinatus teres minor interfascial block can block both the suprascapular nerve and the axillary nerve, which are effective in the innervation of the shoulder, with a single-point injection. The main aim of our study was to show that there is no difference between interscalene block and infraspinatus-teres-minor interfascial block in terms of their effects on postoperative analgesia in patients undergoing arthroscopic shoulder surgery.
Interventions
OTHERPreoperative block application (İntersclane Block)
Before surgery, patients will receive a unilateral interscalene block under ultrasound guidance.
OTHERPreoperative block application (Infraspinatus-teres minor interfascial block)
Before surgery, patients will receive a unilateral infraspinatus-teres minor interfascial block under ultrasound guidance.
Sponsors
Kadem Koc
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* American Society of Anesthesiologists (ASA) classification I-II-III * Scheduled for arthroscopic shoulder surgery under general anesthesia
Exclusion criteria
* history of bleeding diathesis * receiving anticoagulant treatment * infection of the skin at the site of the needle puncture * pregnancy or lactation * patients who do not accept the procedure * Allergy to local anesthetics * Chronic pain syndromes requiring opioid intake
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 24 hours opioid consumption | Time Frame: up to 24 hours | morphine consumptions via patient controlled analgesia device for both group will be recorded |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Sensory and Motor block score | 30 minutes post injection | Sensorimotor block assessed every 5 minutes until 30 minutes using a 8-point composite. Block level will be evaluated between 0-8 points score |
| Numeric rating scale for postoperative pain intensity | up to 24 hours (Will be evaluated at 1, 3, 6, 12, 18, 24 hours) | Evaluated with a Numerical rating scale (NRS) from 0 to 10. (0=no pain; 10=worst imaginable pain) |
| Quality of Recovery - 15 score | Postoperative 24th hour | The impact of surgical and anesthetic interventions on perioperative quality of life and ability to resume routine life activities will be assessed using the Quality of Recovery (QoR) tool. Each question is scored between 0 and 10. The survey result varies between 0-150 points based on the answers given by the patients. Higher scores indicate better recovery. |
Countries
Turkey (Türkiye)
Outcome results
None listed