Comparison of Ultrasound Guided High Thoracic Erector Spinae Plane Block With Shoulder Block for Postoperative Analgesia in Arthroscopic Shoulder Surgery
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- 24-hour analgesic consumption.
研究概览
简要总结
This study aimed to compare the efficacy of high thoracic-ESPB with shoulder block as analgesic options for arthroscopic shoulder surgery.
Primary outcome:
• 24-hour analgesic consumption.
Secondary outcomes:
- Postoperative pain evaluated by: Visual Analogue Pain Scale (VAS).
- Time to first rescue analgesia and total postoperative consumption of analgesia.
- Effect of the block on Hemodynamics.
- Adverse effects in the form of postoperative nausea and vomiting (PONV).
- Patient satisfaction.
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 (Care Provider)
入排标准
- 年龄范围
- 21 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All patients within the age range ≥ 21 to ≤ 70 years old.
- •Body mass index (BMI) ≤ 35kg m
- •ASA I, II of both sex
排除标准
- •Refusal of the patient to the study.
- •Infection at the site of injection.
- •Previous known allergy to any drug used in the study by history.
- •Renal disease [Creatinine. >3mg/dl.].
- •Hepatic disease. [ALT>50U/L, AST >50U/L].
- •Un cooperative or psychological unstable patients.
- •Coagulopathy or anticoagulant therapy.
- •Pregnancy.
结局指标
主要结局
24-hour analgesic consumption.
时间窗: 24 hours.
Total consumptive dose of Morphine. Patients started acetaminophen (1 g PO) before surgery. Acetaminophen infusion continued postoperatively at a dose of 1 g/6 hours. Later, 75 mg diclofenac sodium was also given intravenously twice a day, in combination with 40 mg pantoprazole once. Rescue analgesia of 2.5 mg morphine was given intravenously if the postoperative Visual Analogue Scale score was \> 3 or the patient requested additional analgesia.
次要结局
- Visual Analogue Scale.(● Every 0.5 hour for next 2 hours. ● Every 2 hours for next 6 hours. ● Every 6 hours for remaining 24 hours post-operatively.)
研究者
Nevine Mostafa Soliman
Lecturer of Anesthesiology, ICU and Pain Management.
Menoufia University