Interscalene Block Alone Versus Interscalene Block With Erector Spinae Plane Block for Shoulder Arthroscopy Anesthesia

Not Applicable

Completed

• Conditions: Interscalene Block; Shoulder Arthroscopy Anesthesia; Randomized Controlled Trial; Erector Spinae Plane Block
• Interventions: Other: Interscalene group; Other: interscalene with Erector spinae plane block group

• Registration Number: NCT05646667
• Lead Sponsor: Tanta University

Brief Summary

The aim of this study is to compare the effectiveness of interscalene brachial plexus block alone versus interscalene brachial plexus block +Erector spinae plane block 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 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.

Study Timeline

• Study First Submitted: 2022-12-04
• Study First Submitted QC: 2022-12-09
• Study First Posted: 2022-12-12
• Study Start: 2022-12-15
• Primary Completion: 2024-02-15
• Study Completion: 2024-02-15
• Status Verified: 2024-03
• Last Update Submitted: 2024-03-25
• Last Update Posted: 2024-03-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Aged 18-65 years
• Both genders,
• BMI < 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 group	Patients will receive interscalene brachial plexus block using 15 ml of bupivacaine 0.5%.
Interscalene with erector spinae plane block group	interscalene with Erector spinae plane block group	Patients will receive interscalene brachial plexus block using 10 ml of bupivacaine 0.5% and ultrasound guided erector spinae plane block at thoracic (T2) using 10 ml of bupivacaine 0.5%.

Primary Outcome Measures

Name	Time	Method
Intraoperative fentanyl consumption	Intraoperative up to 4 hours	If the patient complains of pain during surgery, fentanyl will be administered 1 µg/kg IV increments.

Secondary Outcome Measures

Name	Time	Method
Amount of 24hrs postoperative rescue analgesic consumption	24 hours postoperatively	Intravenous meperidine (0.5 mg/kg) will be administered if numerical pain rating scale (NRS) score of more than 3.
Degree of pain by Numerical pain rating scale	24 hours postoperatively	Postoperative pain (using NRS at admission) will be measured at PACU, 1h, 2hr. 4hr, 6hr, 8hr, 12hr, 18hr, and 24hrs postoperative. NRS (0 represents "no pain" while 10 represents "the worst pain imaginable").
Time to first request of rescue analgesia.	24 hours postoperatively	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.

Trial Locations

Locations (1)

Islam Morsy; 🇪🇬 Tanta, Egypt