Erector Spinae Plane Block Versus Intraarticular Injection of Local Anesthetic for Postoperative Analgesia in Patients Undergoing Shoulder Arthroscopy; A Prospective Randomized Controlled Study
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Shoulder Arthroscopy
- Sponsor
- Tanta University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- The amount of total postoperative rescue analgesic consumption (mg)
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
To improve the outcome after surgery, effective pain control is needed. The aim of the current study was to compare the efficacy of ultrasound guided erector spinae plane block versus the intra articular injection of local anesthetic for post-operative analgesia in patients undergoing shoulder arthroscopy.
Detailed Description
Sample size calculation: Calculation of sample size was done to detect a 15% difference in the VAS score between two groups detected that at least 27 patients were needed at an α error of 0.05 and 80 % power of the study. The number will be increased to 30 patients to avoid a 10% dropped out patients. Statistical analysis Statistical analysis will be done by Statistical Package for the Social Sciences (SPSS) v25 (IBM Inc., Chicago, USA). Normality of data will be checked with Shapiro-Wilks test and histogram. Quantitative variables will be presented as mean and standard deviation (SD) and will be compared by unpaired student T test. Categorical variables will be presented as frequency and percentage (%) and will be analysed by the Chi-square test. P value \< 0.05 will be considered statistically significant.
Investigators
Taysser Mahmoud Abdalraheem
Lecturer of Anesthesiology, Surgical Intensive Care and Pain Medicine
Tanta University
Eligibility Criteria
Inclusion Criteria
- •American Society of Anesthesiologists (ASA) physical status I-II
- •Posted for elective shoulder arthroscopy
Exclusion Criteria
- •Coagulopathy
- •Allergy to local anesthetics
- •Chronic use of narcotics
- •Necessity for an intra articular drain after surgery
- •Patients refusal to participate
Outcomes
Primary Outcomes
The amount of total postoperative rescue analgesic consumption (mg)
Time Frame: First 24 hours postoperative
Rescue analgesia in the form of diclofenac sodium 75mg intramuscularly (IM) will be given if the visual analogue scale ≥ 40
Secondary Outcomes
- Postoperative visual analogue scale(First 24 hours postoperative)