Comparion of the Effects of Ultrasound-guided Interscalene Block, Erector Spinae Plane Block, Costoclavicular Block, and Supraclavicular Block on Hemidiaphragm Paralysis, Postoperative Recovery Quality, Opioid Consumption, and Pain Scores in Patients Undergoing Arthroscopic Shoulder Surgery: a Prospective Observational Trial
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Antalya Training and Research Hospital
- Enrollment
- 88
- Locations
- 1
- Primary Endpoint
- Hemidiaphragmatic paralysis
Overview
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.
Study Design
- Study Type
- Observational
- Observational Model
- Case Control
- Time Perspective
- Prospective
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts 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
Arms & Interventions
İnterscalene group
Before the surgery, ultrasoud-guided interscalene block will be performed
Intervention: İnterscalene block group (Other)
Erector spinae plane block group
Before the surgery, ultrasoud-guided erector spinae plane block will be performed
Intervention: Erector spinae plane block group (Other)
Costoclavicular block group
Before the surgery, ultrasoud-guided costoclavicular block will be performed
Intervention: Costoclavicular block group (Other)
Supraclavicular block group
Before the surgery, ultrasoud-guided supraclavicular block will be performed
Intervention: Supraclavivular block group (Other)
Outcomes
Primary Outcomes
Hemidiaphragmatic paralysis
Time Frame: 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 Outcomes
- Recovery quality(5 minutes)
- Postoperative analgesic consumption(24 hours)
- Postoperative pain intensity(24 hours)