The Effectiveness of Different Techniques of Interscalene Brachial Plexus Block With General Anesthesia for Shoulder Arthroscopy

Not Applicable

Completed

• Conditions: Shoulder and Upper Arm Injury
• Interventions: Device: ultrasound and nerve stimulator

• Registration Number: NCT04941235
• Lead Sponsor: Minia University

Brief Summary

There are different techniques of interscalene brachial plexus block, we aimed to evaluate the effectiveness of 3 of them as analgesia during shoulder arthroscopy surgery under general anesthesia.

Detailed Description

Prospective randomized controlled study

There were 4 groups included in our study:

Group N: nerve stimulator guided interscalene brachial plexus block was done Group U: ultrasound guided interscalene brachial plexus block was done Group NU: dual guidance (using both nerve stimulator and ultrasound) Group C: control group We assessed in each group: heart rate, noninvasive blood pressure, time needed for block, onset of sensory and motor power loss and their offset, and finally patient satisfaction.

Study Timeline

• Study Start: 2018-05-01
• Primary Completion: 2019-05-01
• Study Completion: 2020-08-31
• Status Verified: 2021-06
• Study First Submitted: 2021-06-20
• Study First Submitted QC: 2021-06-20
• Last Update Submitted: 2021-06-26
• Study First Posted: 2021-06-28
• Last Update Posted: 2021-06-30

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 80

Inclusion Criteria

• Age: 18-65 years old.
• Sex: Both sexes.
• ASA I & II.

Exclusion Criteria

• • Patient refusal.
• Bleeding disorders.
• Damage or disease of the brachial plexus.
• ASA more than II.
• Pre-existing peripheral neuropathy.
• Patients with neuromuscular diseases.
• Patients with known hypersensitivity to drugs of the study.
• Patients with local skin infection at the site of injection.
• Psychiatric diseases interfering with evaluation of the block.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
N group	ultrasound and nerve stimulator	Nerve stimulator guided interscalene brachial plexus block
U group	ultrasound and nerve stimulator	Ultrasound guided interscalene brachial plexus block
NU group	ultrasound and nerve stimulator	Bth nerve stimulator and ultrasound guided interscalene brachial plexus block

Primary Outcome Measures

Name	Time	Method
Analgesic effect of each technique	12 hour	using visual analogue scale for pain The patient is asked to express the degree of pain in numbers from 0-10, where 0 means no pain and 10 represents severe pain.

Trial Locations

Locations (1)

Faculty of Medcine; 🇪🇬 Minya, Egypt