Efficacy of Erector Spinae Plane Block Versus Infraclavicular Subomohyoid Block in Shoulder Surgery: A Randomized Controlled Blinded Study
试验速览
- 阶段
- 1 期
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- The block efficacy
研究概览
简要总结
The study aimed to compare Erector Spinae Plane (ESP) block versus infraclavicular subomohyoid (ISO) block in the provision of efficacy of either technique in postoperative analgesia in shoulder surgery, aiming to testing the safety of each block in terms of incidence of complications. Patients will be randomly divided into two groups, Group E will receive Erector spinae block and group I will receive infraclavicular subomohyioid block. The local anesthetic solution that will be used in both blocks will be a total volume of 30 mls 0.25%bupivacaine plus 3mg preservative free Dexamethasone. The time between recovery from anesthesia and first pain experienced, as verified by NRS ≥ 3 and first need of a rescue analgesic, will be defined as the duration of analgesia. The total dose of intravenous morphine (the rescue analgesic) used over 24 h postoperatively will be recorded.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients, above 18 years old.
- •ASA physical status I
- •Scheduled for shoulder surgery
排除标准
- •Morbid obese.
- •Previous surgery in the same shoulder.
- •History of psychiatric disorder.
- •Pulmonary disease.
- •Contraindication to regional nerve block (e.g. skin infection at the puncture site, coagulopathy).
- •Allergy to any of medications that will be used
研究组 & 干预措施
Erector spinae block
Ultrasound guidance will be used to visualize the transverse processes of T2 and the overlying muscles.
Under sterile conditions, a 5-cm, 21-gauge needle will be inserted using the out-of-plane technique parallel to the sagittal plane directly over the transverse process,then 30mL of the local anesthetic solution will be injected and observed for the linear spread of LA the under direct ultrasound visualization
干预措施: Erector spinae block (Procedure)
infraclavicular subomohyoid block
Performing posterior approach infraclavicular BP block followed by subomohioid block via the same puncture site under ultrasound guidance.
干预措施: Infraclavicular subomohyoid (ISO) block (Procedure)
结局指标
主要结局
The block efficacy
时间窗: 24 hours
Percentage of 24 hours pain free patients
次要结局
- The incidence of expected complications ( Block safety)(24 hours)
研究者
Randa Ali Shoukry
Assistant Professor
Ain Shams University