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Comparison Of ultrasound guided three different nerve group blocks determined by diaphragmatic paresis in patients undergoing arthroscopic shoulder surgery

Not Applicable
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2022/10/046124
Lead Sponsor
Vardhman Mahavir Medical College and Safdarjung Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

ASA-I or II physical status scheduled to undergo arthroscopic shoulder surgery.

Exclusion Criteria

Patients with known case of coagulopathies or on anticoagulant therapy/infection at the proposed site of block/ known allergies to effect of local anesthetics/ Severe Hypertension/ Preexisting Neurological deficit in upper limbs / Preexisting lung diseases or hemidiaphragmatic dysfunction/ Duration of surgery more than 2 hours/ Arthroscopic Rotator cuff repair.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To compare the incidence of hemidiaphragmatic paresis after ultrasound guided interscalene brachial plexus, anterior suprascapular and posterior suprascapular nerve block as determined by Forced expiratory volume in first second, Forced vital capacity and diaphragmatic excursionTimepoint: Pre-block, Post-Block 30 minutes and 1sr hour post-operatively.
Secondary Outcome Measures
NameTimeMethod
To compare analgesic efficacy of interscalene brachial plexus, anterior suprascapular and posterior suprascapular nerve block with regards to 1)Total fentanyl requirements during intraoperative period 2)Numerical rating scale (NRS) pain score 3)Time taken to first rescue analgesia demand 4)Total tramadol consumption during first 24 hours of postoperative periodTimepoint: Numeric rating pain score at immediate Postop, 1st Hr postop, 6th Hr postop, 12th Hr postop and 24th hour postop.
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