Comparison of Perioperative Analgesic Efficacy of Ultrasonography Guided Upper Trunk Block and Costoclavicular Infraclavicular Brachial Plexus Block in Arthroscopic Shoulder Surgery
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- Detection of diaphragmatic paralysis by ultrasonography
研究概览
简要总结
Interscalene brachial plexus block is known as the gold standard for analgesia after shoulder surgery, but limits the use of ipsilateral phrenic nerve paralysis. Recently, interest in potential diaphragm-sparing alternative blocks has increased for patients undergoing shoulder surgery.Two of these blocks are upper trunk block (UTB) and costoclavicular brachial plexus (CCBPB) block. This randomized controlled trial will compare ultrasound-guided UTB and CCBPB in patients undergoing arthroscopic shoulder surgery.
The main outcome is pain intensity score at 30 minutes after arrival in the post anesthesia care unit (PACU) as measured by a numerical rating scale (NRS) from 0 to 10. The investigators research hypothesis is that UTB and CCBPB will result in equivalent postoperative analgesia at 30 minutes in the PACU.
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
- Double (Participant, Care Provider)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •American Association of Anesthesiologists (ASA) physical status I - III
- •BMI 20 to 35 kg / m2
- •Patients scheduled for elective arthroscopic shoulder surgery
排除标准
- •Patients who refuse to participate in the study,
- •Pre-existing (obstructive or restrictive) lung disease,
- •Coagulopathy,
- •Hepatic or renal insufficiency,
- •Allergy to local anesthetic drugs,
- •Chronic pain condition requiring opioid intake at home,
- •Surgery in the neck or infraclavicular region
- •History of psychiatric diseases needing treatment.
- •Failure of nerve block performed in the preoperative block room
- •Substance abuse history
结局指标
主要结局
Detection of diaphragmatic paralysis by ultrasonography
时间窗: 30 minutes after block application
Ipsilateral diaphragmatic excursion 30 minutes after block completion
次要结局
- Block perform time(The time from the needle enters the skin until the block is completed)
- Postoperative opioid consumption(24 hour after surgery)
- Block onset time(Until sensory and motor block occurs)
- Pain intensity score(30 minutes, 1,3, 6, 12, 24 hour after surgery)
- Patient satisfaction: NRS(24 hour after surgery)
- Intraoperative fentanyl requirement(From the beginning to the end of the operation)