Serratus Posterior Superior Intercostal Plane Block Versus Suprascapular Nerve Block and Axillary Nerve Block for Analgesia in Shoulder Arthroscopic Surgery: A Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Time to the 1st rescue analgesia
研究概览
简要总结
This study aims to compare the serratus posterior superior intercostal plane block and suprascapular nerve block and axillary nerve block for analgesia in shoulder arthroscopic surgery.
详细描述
Controlling postoperative pain while minimizing opioid administration is particularly important because poor pain control is thought to be responsible for more than 60% of unplanned or prolonged hospitalizations.
Suprascapular nerve block (SSNB) has been proposed based on the anatomic fact that the suprascapular nerve innervates approximately 70% of the shoulder joint, capsule, subacromial space, acromioclavicular joint, and coracoacromial ligament, with the remaining 30% thought to be innervated by the lateral pectoral and axillary nerve.
The combined SSNB and axillary nerve block (ANB) was proposed as a safe alternative to interscalene brachial plexus block (ISB) for providing anesthesia and postoperative analgesia for shoulder surgery.
Serratus posterior superior intercostal plane block (SPSIPB) was described as a novel technique in a case series study of cadavers and five patients.
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, Outcomes Assessor)
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
- •Age from 18 to 65 years.
- •Both sexes.
- •American Society of Anesthesiology (ASA) physical status I-II.
- •Scheduled for open thoracotomy.
排除标准
- •Infection at the site of regional blocks.
- •Allergy to any drug used in this study.
- •Use of psychotropic and/or narcotic medications on a regular basis.
- •Cognitive dysfunction.
- •Cardiovascular disease.
- •Pulmonary disease.
- •Coagulation abnormalities.
- •Anatomical abnormalities.
- •Neuropathic pain.
- •Body mass index >
- •History of substance abuse.
- •Previous surgery in the same shoulder.
研究组 & 干预措施
Group SPSIPB
Patients will receive a serratus posterior superior intercostal plane block.
干预措施: Serratus posterior superior intercostal plane block (Other)
Group SSSB+ANB
Patients will receive suprascapular nerve block + axillary nerve block.
干预措施: Suprascapular nerve block + Axillary nerve block (Other)
结局指标
主要结局
Time to the 1st rescue analgesia
时间窗: 24 hours postoperatively
Time to the first request for the rescue analgesia (time from end of surgery to first dose of morphine administered).
次要结局
- Degree of pain(24 hours postoperatively)
- Intraoperative fentanyl consumption(Intraoperatively)
- Total morphine consumption(24 hours postoperatively)
- Incidence of adverse events(24 hours postoperatively)
研究者
Mohammed Said ElSharkawy
Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Tanta University