Interscalene Block Alone Versus Interscalene Block With Erector Spinae Plane Block for Shoulder Arthroscopy Anesthesia: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Interscalene Block
- Sponsor
- Tanta University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Intraoperative fentanyl consumption
- Status
- Completed
- Last Updated
- 2 years ago
Overview
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.
Investigators
Islam Morsy
Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine
Tanta University
Eligibility Criteria
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
Outcomes
Primary Outcomes
Intraoperative fentanyl consumption
Time Frame: Intraoperative up to 4 hours
If the patient complains of pain during surgery, fentanyl will be administered 1 µg/kg IV increments.
Secondary Outcomes
- Amount of 24hrs postoperative rescue analgesic consumption(24 hours postoperatively)
- Degree of pain by Numerical pain rating scale(24 hours postoperatively)
- Time to first request of rescue analgesia.(24 hours postoperatively)