Interscalene Block Versus Erector Spinae Plane Block for Shoulder Arthroscopy Anesthesia

Not Applicable

Recruiting

• Conditions: Interscalene Block; Erector Spinae Plane Block; Arthroscopy
• Interventions: Procedure: Interscalene brachial plexus block; Procedure: Erector spinae plane block

• Registration Number: NCT05646654
• Lead Sponsor: Tanta University

Brief Summary

The aim of this study is to compare the effectiveness of ESPB versus ISB in anesthesia for shoulder arthroscopy

Detailed Description

Regional anesthetic techniques can control pain effectively, both at rest and on movement, allowing earlier mobilization without the adverse effects of opioids. Among the various types of regional anesthetic techniques, the interscalene brachial plexus block (ISB) is a gold standard used nerve block technique for postoperative analgesia in patients undergoing shoulder surgery, as it has consistently been shown to significantly control.

the interscalene brachial plexus block (ISB) regional anesthesia offers many advantages over general anesthesia for both arthroscopic and open surgeries of the shoulder it provides excellent intraoperative anesthesia and muscle relaxation' as well as analgesia that continues into the postoperative period

Study Timeline

• Study First Submitted: 2022-12-04
• Study First Submitted QC: 2022-12-04
• Study First Posted: 2022-12-12
• Study Start: 2022-12-15
• Status Verified: 2023-04
• Last Update Submitted: 2023-04-15
• Last Update Posted: 2023-04-19
• Primary Completion: 2023-05-15
• Study Completion: 2023-05-15

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 54

Inclusion Criteria

• Patients with Body Mass Index < 40 kg/m2
• American Society of Anesthesiologists (ASA) physical status I-II
• scheduled for elective shoulder arthroscopy

Exclusion Criteria

• Known allergy to local anesthetics
• Allergy to all opioid medications
• Diagnostic shoulder arthroscopic procedures
• Patients with chronic opioids
• Patients who converted to general anesthesia use and coagulopathy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Interscalene group	Interscalene brachial plexus block	Using a lateral-to-medial approach, the 25-gauge needle will be inserted into the middle scalene muscle, advanced, and placed immediately lateral to the nerve roots. the needle will be visualize using an ultrasound beam to avoid intraneural and intravascular injections. After confirming negative blood aspiration, we will inject 15 mL of 0.5% bupivacaine around the nerve roots
Erector spinae plane block group	Erector spinae plane block	3ml lidocaine 2% will be used to anesthetize the skin. Using a 20-gauge block needle put in-plane in a cephalad-to-caudad orientation to position the tip into the fascial plane on the deep (anterior) side of the erector spinae muscle, 20 ml bupivacaine 0.5% will be injected.

Primary Outcome Measures

Name	Time	Method
Intraoperative fentanyl consumption	30 minutes	Fntanyl will be administered 1 µg/kg IV increments.

Secondary Outcome Measures

Name	Time	Method
Postoperative pain	24 hours postoperative	numeric rating scale (NRS) (0 represents "no pain" while 10 represents "the worst pain imaginable").
Rescue analgesia in the form of IV meperidine (0.5 mg/kg) boluses if NRS >3. Time to the 1st rescue analgesic request will be recorded	24 hours postoperative
Total amount of rescue analgesic	24 hours postoperative	Rescue analgesia in the form of IV meperidine (0.5 mg/kg) boluses if NRS \>3.

Trial Locations

Locations (1)

Islam Morsy; 🇪🇬 Tanta, El-Gharbia, Egypt