A Comparison of Erector Spinae Plane Block to Suprascapular Nerve Block for Analgesia in Shoulder Surgery
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Zagazig University
- Enrollment
- 96
- Locations
- 1
- Primary Endpoint
- Intraoperative analgesia
Study Overview
Brief Summary
A comparison between Erector Spinae Plane block and Suprascapular nerve block in providing analgesia for shoulder surgery
Detailed Description
Suprascapular nerve block is considered a phrenic nerve sparing approach that recently introduced as alternative for interscalene brachial plexus nerve block in shoulder surgery. However, some researchers reported that Suprascapular nerve block alone results in an ineffective analgesia. Erector Spinae Plane block is supposed to be able in providing adequate analgesia in shoulder surgery
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Other
- Masking
- Double (Care Provider, Outcomes Assessor)
Masking Description
The care provider and outcome assessor will be unaware of the study design
Eligibility Criteria
- Ages
- 21 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •ASA I and II,
- •Age above 21 years and below 60 years in both sexes,
- •Cooperative patients,
- •Patients with a BMI (body mass index) not exceeding 35.
Exclusion Criteria
- •patients with cardiovascular or respiratory compromise,
- •Patient refusal,
- •Coagulopathy,
- •Local tissue infection,
- •Allergy to local anesthesia,
- •prior to cervical or thoracic spine surgery.
Arms & Interventions
The block group (a)
Patients were randomized in a 1:1 :1ratio, group (a) will receive SSN. The nerve blocks The procedure will be performed after induction of anaesthesia and endotracheal intubation.
Intervention: Block procedures for shoulder surgery analgesia (Other)
The block group (b)
Patients were randomized in a 1:1:1 ratio. group (b) will receive the Erector spinae plane block. The procedure will be performed after induction of anesthesia and endotracheal intubation.
Intervention: Block procedures for shoulder surgery analgesia (Other)
control group
Patients were randomized in a 1:1:1 ratio. this group will receive general anesthesia (GA) only
Intervention: Block procedures for shoulder surgery analgesia (Other)
Outcomes
Primary Outcomes
Intraoperative analgesia
Time Frame: The intraoperative patients' hemodynamics every 30 min were collected and analyzed till the end of surgery . Also the total dose of opioids consumed intraoperatively will be recorded. Postoperative consumed opioid for 24 hours also will calculated
Recording of the patients' hemodynamics (heart rate and non-invasive blood pressure) and total dose of opioids consumption intraoperatively and postoperatively.
Secondary Outcomes
No secondary outcomes reported
Investigators
Naglaa Fathy Abdelhaleem Abdelhaleem
Lecturer, Anesthesia and Surgical Intensive Care department, Faculty of Medicine
Zagazig University