Anaesthesia
Conditions
Interventions
PIBP group
Sponsors
anesthesia department faculty of medicine menoufia university
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: • Patients aged 18–65 years • American Society of Anesthesiologists (ASA) I or II • Scheduled for elective unilateral shoulder arthroscopy (rotator cuff repair, bankart repair, superior labral tear from anterior to posterior repair, and/or acromioplasty).
Exclusion criteria
Exclusion criteria: • Coagulation Or bleeding disorder, anticoagulant therapy • Cervical disc issues, • Allergy/sensitivity to local anaesthetics and/or opioids, • Infection in the block area, • Contralateral hemidiaphragmatic paralysis, pneumonectomy or vocal cord palsy, severe bronchopulmonary disease, including chronic obstructive pulmonary disease and obstructive sleep apnea. • Pregnancy or suspected pregnancy, breast feeding mother, • Body mass index greater than 35 kg/m2, • Significant psychiatric or cognitive conditions interfering with assessment. • Unstable coronary artery disease, congestive heart failure, or arrhythmias. • Pre-existing neurological deficits or neuropathy affecting the brachial plexus. Cognitive or intellectual disability resulting in difficulty communicating with the care givers. • Pre-existing chronic pain or daily consumption of opioid analgesics. • Significant renal or hepatic impairment. • Refusal to participate • Block failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the time to first postoperative analgesia requirement. | — |
Secondary
| Measure | Time frame |
|---|---|
| 2) Postoperative pain severity: in the recovery room, the severity of pain will be assessed using the VAS by study investigators as soon as the patient became alert enough to report pain, at PACU admission‚ every hour for the first 8 hours‚ then every 3 hours. The VAS of the postoperative pain will be recorded as static (during rest) and dynamic (during mobilization) measurements.;Intraoperative Needs for nitroglycerin;Anesthetic requirements (ETiso) just before skin incision then envery 15 minutes till extubation.;Intraoperative (fentanyl) and postoperative (ibuprofen and meperidine) analgesic requirements. ;Intraoperative mean arterial pressure (MAP), heart rate (HR). MAP and HR will be recorded before induction of anesthesia (baseline); immediately before the block; after skin incision; every 5 minutes intraoperatively; at PACU admission, PACU discharge and at 2, 4, 8, 12, and 24 hours postoperatively. ;Patient discomfort during block performance > using a verbal rating scale (VRS) of 0 to 10.;9) Aadverse effects (e.g., nausea, vomiting) and Block related complications Such as, block failure, upper limb motor function, LAST, dizziness, facial flushing, Pneumothorax, hypotension, phrenic nerve affection (diaphragmatic US assessment), hematoma, the side effects of the block (Horner’s syndrome, hoarseness, and subjective dyspnea, which can be caused by ipsilateral stellate ganglion, recurrent laryngeal nerve, and phrenic nerve block, respectively), pneumothorax (US assessment) and the procedural time (time between insertion and removal of the nerve-stimulating needle) will be recorded. | — |
Countries
Egypt
Contacts
Public Contactwesam sultan
assistant professor of anesthesia
Outcome results
None listed