Efficacy and Safety of Superior Trunk Block Versus Interscalene Block for Post-operative Analgesia in Shoulder Surgeries
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- diaphragmatic paralysis postoperative
研究概览
简要总结
Efficacy and safety of superior trunk block versus interscalene block for post-operative analgesia in shoulder surgeries
详细描述
The interscalene brachial plexus block is the gold standard analgesic technique for surgery involving the shoulder and upper arm. However, due to its complications as hemidiaphragmatic paralysis, the superior trunk block was developed in an attempt to reduce major complications.The utility of the superior trunk block has yet to be studied in shoulder surgeries.
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
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 21 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients American Society of Anaesthesiologists physical status (ASA) is I to II.
- •Both genders.
- •Aged group from 21 to 50 years old.
- •Patients electively scheduled for shoulder surgery under general anesthesia with normal coagulation profile.
排除标准
- •Refusal of the procedure or participation in the study.
- •Any history or evidence of coagulopathy.
- •Evidence of infection at injection site.
- •Allergy to study drugs.
- •Patients with pulmonary severe respiratory disease.
- •Herniated cervical disc or cervical myelopathy.
- •Pre-existing neuropathy of the operative limb
研究组 & 干预措施
interscalene block group
participants undergoing shoulder surgeries will receive ultrasound guided interscalene block
干预措施: interscalene block (Procedure)
interscalene block group
participants undergoing shoulder surgeries will receive ultrasound guided interscalene block
干预措施: superior trunk block (Procedure)
superior trunk block group
participants undergoing shoulder surgeries will receive ultrasound guided superior trunk block
干预措施: interscalene block (Procedure)
superior trunk block group
participants undergoing shoulder surgeries will receive ultrasound guided superior trunk block
干预措施: superior trunk block (Procedure)
结局指标
主要结局
diaphragmatic paralysis postoperative
时间窗: within 24 hours after surgery
o The incidence of diaphragmatic paralysis postoperative assessed by Diaphragmatic excursion distance by Ultrasound
次要结局
- analgesic efficacy(within 24 hours after surgery)
- rescue analgesia(within 24 hours after surgery)
- Post operative nausea and vomiting(within 24 hours after surgery)