Regional Anaesthesia, Arthroscopic Shoulder Surgery, Hemidiaphragmatic Paralysis, Recovery Quality, Opioid Consumption, Postoperative Pain Score
Conditions
Keywords
regional anaesthesia, arthroscopic shoulder surgery, hemidiaphragmatic paralysis, recovery quality, opioid consumption, postoperative pain score
Brief summary
This study aims to evaluate the effects of ultrasound-guided interscalene, erector spinae plane, costoclavicular, and supraclavicular blocks on hemidiaphragmatic paralysis, postoperative recovery quality, opioid consumption, and pain scores.
Detailed description
Arthroscopic shoulder surgery is a significant approach to diagnosing and treating rotator cuff tears, impingement syndrome, instability, SLAP and Bankart injuries, and other shoulder disorders. Applications of this technique have become increasingly popular in recent yeras. Howeveri although arthroscopic sholuder surgery is conderered minimally invasive, it has been reported to cause moderate to severe postoperative pain, which can hinder patient recovery and rehabilitation, and potentially even extend the hospital stay. Therefore, providing an effective postoperative analgesia strategy in these patients is critical for patient comfort, mobilization, and overall recovery. Various methods are employed to managepostoperative pain in patients undergoing arthroscopic shoulder surgery, with regional techniques being the most prevalent. These regional techniques provide both intraoperative and postoperative analgesia in shoulder surgeries. The aim of this study is to evaluate the effects of ultrasound-guided four block techniques on hemidiaphragmatic paralysis, postoperative recovery quality, opioid consumption, and pain scores.
Interventions
OTHERİnterscalene block group
Before the surgery, ultrasoud-guided interscalene block will be performed before the surgery under standart anaesthesia monitoring
Before the surgery, ultrasoud-guided erector spinae plane block will be performed before the surgery under standart anaesthesia monitoring
OTHERCostoclavicular block group
Before the surgery, ultrasoud-guided costoclavicular block will be performed before the surgery under standart anaesthesia monitoring
OTHERSupraclavivular block group
Before the surgery, ultrasoud-guided supraclavivular block will be performed before the surgery under standart anaesthesia monitoring
Sponsors
Antalya Training and Research Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* aged 18-65 years * American Society of Anaesthesiology (ASA) score I-III * body mass index (BMI) \<30kg/m2 * scheduled for elective arthroscopic surgery
Exclusion criteria
* ASA score ≥4 * BMI ≥30 kg/m2 * declining to give written informed consent * controendications for block application * history of mental or neurological disease, severe liver and/or kidney disease * history of moderate or severe pulmonary disease * abnormal preoperative chest X-ray findings * scheduled for emergency surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hemidiaphragmatic paralysis | 30 minutes | Diaghragmatic excursion will be assessed using a real-time M-mode ultrasound during quite breathing, deep breathing, and sniffing maneuvers (deep breathing through the nose) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Recovery quality | 5 minutes | The postoperative recovery of patients will be assessed using the 15-item Quality of Recovery (QOR-15) score. The QOR-15 is an 15-item assessment scale that evaluates patients' pain, physical comfort, physical independence, psychological support and emotional state in early postoperative period. |
| Postoperative analgesic consumption | 24 hours | All patients will receive a standard patient analgesia (PCA) protocol. The postoperative opioid consumption will only be recorded |
| Postoperative pain intensity | 24 hours | The postoperative pain intensity will be assessed with the Numerical Rating Scale (NRS) score (0=no pain; 10=most severe pain) |
Countries
Turkey (Türkiye)
Contacts
CONTACTArzu Karaveli
CONTACTBayram Akdag
PRINCIPAL_INVESTIGATORArzu Karaveli
University of Health Sciences, Antalya Training and Research Hospital
PRINCIPAL_INVESTIGATORBayram Akdag
University of Health Sciences, Antalya Training and Research Hospital
PRINCIPAL_INVESTIGATORFatih Duygun
University of Health Sciences, Antalya Training and Research Hospital
Outcome results
None listed