The Effectiveness of Different Techniques of Interscalene Brachial Plexus Block With General Anesthesia for Shoulder Arthroscopy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Shoulder and Upper Arm Injury
- Sponsor
- Minia University
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Analgesic effect of each technique
- Status
- Completed
- Last Updated
- 4 years ago
Overview
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.
Investigators
Shery Shehata Kyriacos
Assistant Lecturer
Minia University
Eligibility Criteria
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.
Outcomes
Primary Outcomes
Analgesic effect of each technique
Time Frame: 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.