Perioperative Respiratory and Analgesic Effects of Ultrasound-Guided Extrafascial Versus Intrafascial Interscalene Brachial Plexus Block in Patients Undergoing Shoulder Arthroscopy
试验速览
- 阶段
- 不适用
- 入组人数
- 50
- 主要终点
- Incidence of diaphragmatic excursion reduction after interscalene block
研究概览
简要总结
The aim of the study is to compare the diaphragmatic excursion and postoperative analgesia in the extrafascial versus intrafascial Interscalene brachial plexus block in patients undergoing shoulder arthroscopy.
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
- 21 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients of both sexes aged (21-60years) with American Society of Anesthesiologists (ASA) physical status I/II scheduled for shoulder arthroscopy
排除标准
- •Patient refusal.
- •Pre-existing (obstructive or restrictive) pulmonary disease.
- •Bleeding disorders (coagulopathy).
- •Mental dysfunction.
- •History of allergy to local anesthetics.
- •Body mass index (BMI) >40
研究组 & 干预措施
Intrafascial interscalene brachial plexus block group
The patients will receive 10 ml of 0.5% bupivacaine for intrafascial interscalene brachial plexus block group
干预措施: Intrafascial interscalene brachial plexus block (Procedure)
Intrafascial interscalene brachial plexus block group
The patients will receive 10 ml of 0.5% bupivacaine for intrafascial interscalene brachial plexus block group
干预措施: Bupivacaine (Drug)
Extrafascial interscalene brachial plexus block group
The patients will receive 10 ml of 0.5% bupivacaine for extrafascial interscalene brachial plexus block group
干预措施: Extrafascial interscalene brachial plexus block group (Procedure)
Extrafascial interscalene brachial plexus block group
The patients will receive 10 ml of 0.5% bupivacaine for extrafascial interscalene brachial plexus block group
干预措施: Bupivacaine (Drug)
结局指标
主要结局
Incidence of diaphragmatic excursion reduction after interscalene block
时间窗: 30 min postoperative.
The diaphragmatic excursion will be measured before the procedure (pre-block), 30 min after the block, and postoperative in Post-Anesthesia Care Unit. Hemidiaphragmatic paresis is defined as hemi-diaphragmatic excursion reduction superior to 75% compared with the pre-procedure value.
次要结局
- Efficacy of block (sensory)(30 minutes Postoperatively)
- Forced expiratory volume in 1 second (FEV 1)(Intraoperatively or 30 minutes postoperatively)
- Pain score using numerical rating scale (NRS)(24 hours Postoperative)
- Total postoperative analgesic consumption(24 hours Postoperative)
- Peak expiratory flow (PEF)(Intraoperatively or 30 minutes postoperatively)
- Efficacy of block (Motor)(30 minutes Postoperatively)
研究者
Radwa Emad Eissa
Assistant lecturer
Tanta University