Comparison of Erector Spinae Plane Block at the Level of Second Thoracic Vertebrae with Interscalene Block for Postoperative Analgesia in Arthroscopic Shoulder Surgery: A Randomized Controlled Trial
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- To compare Numerical rating score (NRS)
研究概览
简要总结
Arthroscopic surgery have allowed surgeons to perform day care surgeries including shoulder surgery .About 54% of these patient experience severe post pain. Interscalene brachial plexus block(ISB) is gold standard technique for shoulder analgesia but its use is offset by high rate of hemi-diaphragmatic paralysis which can be very critical in patient with preexisting pulmonary pathology.Therefore, phrenic nerve sparing block have been subject of study ane among which is Erector Spinae plane Block(ESPB). In our study we are studying does Ultrasound guided ESPB has better post operative analgesia than ISB in patient undergoing shoulder arthroscopic surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Investigator Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •The patients aged 18 to 65 years of either gender of either ASA category I or II, scheduled for elective unilateral shoulder arthroscopic surgery.
排除标准
- •1- Refusal to participate in study, 2- Allergy/sensitivity to local anaesthetics (LAs) and/or opioids, 3-Infection at the procedure site (ESPB and ISB sides, corresponding to the T2 level and the neck, respectively), 4-Patient with deranged coagulation profile[ PT /INR] 5- Patient receiving Anticoagulant and Antiplatelet therapy [ Aspirin / Clopidogrel/ iv anticoagulant] 6- Pregnancy or suspected pregnancy[UPT], breastfeeding mother.
结局指标
主要结局
To compare Numerical rating score (NRS)
时间窗: 24 hrs.
次要结局
- Cumulative dose of rescue analgesia in 24 hour(24 hrs.)
- Time to 1st rescue analgesics in both groups(24 hrs.)
研究者
Dr Pramila Soni
Dr.SN Medical College