Comparison Of Efficacy Of Costoclavicular Block With Interscalene Block For Postoperative Analgesia In Patients Undergoing Arthroscopic Shoulder Surgery Under General Anaesthesi
试验速览
- 阶段
- 3 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 74
- 试验地点
- 1
- 主要终点
- To compare the analgesic efficacy of costoclavicular block and interscalene block in patients undergoing arthroscopic shoulder surgery under general anaesthesia,as measured by the numeric range scale at 1 hour rest
研究概览
简要总结
This prospective randomized controlled study compares the effectiveness of costoclavicular block and interscalene block for post operative pain control in adult patients undergoing arthroscopic shoulder surgery under general anaesthesia
The primary objective is to compare the duration of analgesia provided by each block as measured by numeric rating scale pain scores
Secondary objectives include assessing block characteristics such as onset and duration,measuring total opioid use in the frist 24 hours after surgery,monitoring hemodynamic parameters andcomplications,evaluating ease of performance and patient satisfaction.
findings from this study will help inform the choice of regional anaesthesia technique for shoulder surgery,with the aim of improving pain management and reduce opioid use.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients 18-65 years of age belonging to the American Society of Anesthesiologists (ASA) physical status I or II scheduled to undergo unilateral arthroscopic shoulder surgery.
排除标准
- •Patients with
- •Known coagulopathies or on anticoagulant therapy, infection at the proposed site of block and known allergies to the effect of local anaesthetics
- •Known preexisting Neurological deficit in the upper limbs
- •Known preexisting lung diseases or hemidiaphragmatic dysfunction
- •Pregnant Women.
结局指标
主要结局
To compare the analgesic efficacy of costoclavicular block and interscalene block in patients undergoing arthroscopic shoulder surgery under general anaesthesia,as measured by the numeric range scale at 1 hour rest
时间窗: At base line and 1 hour
次要结局
- To compare NRS at 0 4 8 and 24 hours postoperatively at rest and cumulative NRS score at 24 hrs at rest to asses the time of frist rescue analgesia and to compare total amount of rescue analgesia consumption in each group(18 month)
- To assess the incidence of hemidiaphragmatic paresis using USG guided diaphragmatic excursion and pulmonary function test (FVC FEV1 andPFR) using CONTEC spirometer CMS SP100 at baseline and 30 minutes post block and 1 hour in PACU(18 month)
- To assess the block characteristics like time of performance of block and onset of sensory and motor block(18 month)
- To assess total intra operative fentanyl consumption and hemodynamic parameters like HR MAP and spo2(18 month)
研究者
Dr Jitendra Yadav
Vardhman Mahavir Medical College And Safdarjung Hospital