Comparison of Anterior and Posterior Approaches of Suprascapular Nerve Block in Arthroscopic Shoulder Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Postoperative pain at the postoperatively 30 Minutes, 4 Hours, 6Hours, 12Hours, 24Hours
研究概览
简要总结
Suprascapular nerve is a mixed motor and sensory peripheral nerve arising from the superior trunk of brachial plexus.The suprascapular nerve runs through the posterior triangle of the neck, anterior of the trapezius muscle and dorsal of the omohyoid muscle, in direction of the scapula. Suprascapular nerve block is performed by anterior and posterior approach. Posterior approach of the suprascapular nerve block has been shown for many years to provide effective analgesia in the shoulder region for the chronic and acute pain. There are studies showing that suprascapular block with anterior approach provides effective analgesia in shoulder arthroscopy.
The aim of our study was to compare anterior and posterior approaches of suprascapular nerve block in terms of analgesic efficacy and patient safety.
详细描述
This study is a prospective randomized clinical trial will be conducted between July 2022 and June 2023.Participant will divide into two groups as participant who underwent suprascapular nerve block with the anterior approach and participant who underwent suprascapular nerve block with the posterior approach. Bupivacaine 5 ml %0.5 will be injected both group. Diaphragmatic thickness fraction will be evaluated with ultrasound left and right 7.-8. subcostal anterior axillary border with the participant with the semi-sitting position. Diaphragmatic thickness fraction will measure before the block and after 30 minutes the surgery. Participants will administered intravenous morphine patient controlled analgesia for 24 hours stay. The amount of opioid analgesics given in both groups will be determined (in mg). Postoperative 4th, 6th, 12th, 24th hour Visual Analogue Scale scores of the participants and opioid consumptions until that hours will be evaluated. An addition participant will be determined according to the surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
sealed envelope
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient who accepts to study protocol
- •Scheduled for shoulder surgery
- •Between the ages of 18 and 80
排除标准
- •Patients with coagulopathy
- •Patients with a history of local anesthetic drug allergy and toxicity
- •Patients with advanced organ failure
- •Patients with mental retardation
- •Patients with infection present at the injection site
- •Patients with diaphragm paralysis
- •Pregnant patients
研究组 & 干预措施
Posterior suprascapular block
Suprascapular block performed by posterior approach
干预措施: Posterior suprascapular block (Procedure)
Anterior suprascapular block
Suprascapular block performed by anterior approach
干预措施: Anterior suprascapular block (Procedure)
结局指标
主要结局
Postoperative pain at the postoperatively 30 Minutes, 4 Hours, 6Hours, 12Hours, 24Hours
时间窗: Up to 24 hours post-operative
Visual analogue scale (0-10): 0= no pain, 10= the worst pain ever feel.
次要结局
- Diaphragmatic movements(Baseline (Before the block performed) and 30 minutes after the end of surgery)
- Postoperative opioid analgesic consumption (morphine)(postoperative 24 hours)
- Postoperative opioid analgesic consumption (morphine)(postoperative 30 minutes)
- Postoperative opioid analgesic consumption (morphine)(postoperative 4 hours)
- Postoperative opioid analgesic consumption (morphine)(postoperative 6 hours)
- Postoperative opioid analgesic consumption (morphine)(postoperative 12 hours)
- Peroperatively opioid analgesic consumption (Remifentanil)(up to postoperative 0 minutes)
- Postoperative pain at postoperative 4 Hours(at postoperative 4 Hours)
- Postoperative pain at postoperative 6 Hours(at postoperative 6 Hours)
- Postoperative pain at postoperative 12 Hours(at postoperative 12 Hours)
- Postoperative pain at postoperative 24 Hours(at postoperative 24 Hours)
研究者
Ebru Girgin Dinç, MD
Principal Investigator
Istanbul Medeniyet University