Comparison of Postoperative Analgesic Efficacy Between the Interscalene Block and Infraspinatus-Teres Minor Interfascial Blocks in Patients Undergoing 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
- 2
- 主要终点
- 24 hours opioid consumption
研究概览
简要总结
Postoperative pain is important following arthroscopic shoulder surgery. Postoperative effective pain treatment provides early mobilization and shorter hospital stay.Ultrasound (US)-guided brachial plexus blocks such as interscalen and supraclavicular block are usually performed. Interscalene brachial plexus block is one of the most preferred techniques among these.
Due to the phrenic nerve paralysis frequently seen in interscalene block, alternative diaphragm-sparing block techniques have emerged over time. One of these is the Infraspinatus teres minor interfascial block. Infraspinatus teres minor interfascial block can block both the suprascapular nerve and the axillary nerve, which are effective in the innervation of the shoulder, with a single-point injection.
The main aim of our study was to show that there is no difference between interscalene block and infraspinatus-teres-minor interfascial block in terms of their effects on postoperative analgesia in patients undergoing arthroscopic shoulder surgery.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •American Society of Anesthesiologists (ASA) classification I-II-III
- •Scheduled for arthroscopic shoulder surgery under general anesthesia
排除标准
- •history of bleeding diathesis
- •receiving anticoagulant treatment
- •infection of the skin at the site of the needle puncture
- •pregnancy or lactation
- •patients who do not accept the procedure
- •Allergy to local anesthetics
- •Chronic pain syndromes requiring opioid intake
结局指标
主要结局
24 hours opioid consumption
时间窗: Time Frame: up to 24 hours
morphine consumptions via patient controlled analgesia device for both group will be recorded
次要结局
- Sensory and Motor block score(30 minutes post injection)
- Numeric rating scale for postoperative pain intensity(up to 24 hours (Will be evaluated at 1, 3, 6, 12, 18, 24 hours))
- Quality of Recovery - 15 score(Postoperative 24th hour)
研究者
Kadem Koc
Research Fellow
Samsun University