Sparing Diaphragm; ISO Block Versus Low Volume Scalene Block

Not Applicable

• Conditions: Shoulder Arthropathy Associated With Other Conditions
• Interventions: Procedure: ISO block; Procedure: scalene block

• Registration Number: NCT03331237
• Lead Sponsor: Healthpoint Hospital

Brief Summary

For shoulder analgesia, both ISO block and low volume scalene (LVS) block (using 5 ml of local anesthetics) are suggested to have a low incidence of hemi-diaphragmatic pariesis (HDP).

The aim of this study was to compare the incidence of HDP and the analgesic efficacy of the LVS block versus ISO block.

Detailed Description

Not available

Study Timeline

• Status Verified: 2017-10
• Study Start: 2017-10-09
• Study First Submitted: 2017-10-28
• Study First Submitted QC: 2017-10-31
• Last Update Submitted: 2017-10-31
• Study First Posted: 2017-11-06
• Last Update Posted: 2017-11-06
• Primary Completion: 2018-04
• Study Completion: 2018-04

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 72

Inclusion Criteria

• patients who were scheduled for arthroscopic shoulder surgery

Exclusion Criteria

• aged <18y
• BMI >35,
• ASA greater >III,
• an infection at the injection site
• has a contraindication for laryngeal mask or the medications used in this study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
ISO group	ISO block	in this group all patients will receive ISO block.
LVS group	scalene block	interscalene injection

Primary Outcome Measures

Name	Time	Method
hemi-diaphragmatic pariesis	2-4 hours	diaphragmatic caudal displacement will be measured (in cm) with real time ultrasound before the block performance and after the procedure

Secondary Outcome Measures

Name	Time	Method
duration of analgesia	24 hours	duration between the block performance and the first requesting of pain killer (morphine)
total morphine dose	24 hours	the total morphine consumption within 24 hrs after the block performance
patient satisfaction	24 hours	if the patient is satisfied with the analgesia technique or not
analgesic efficacy (block success)	2-4 hours	successful block = pain free (VAS 0) in recovery unit. VAS will be used to evaluate the pain (0 = pain free, 10= most sever pain)

Trial Locations

Locations (1)

Healthpoint Hospital; 🇦🇪 Abu Dhabi, United Arab Emirates