the Association of Ultrasound Guided Suprascapular and Supraclavicular Nerve Block Provides Adequate Analgesia in Comparison With Ultrasound Guided Interscalene Block
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 60
- 主要终点
- Visual Analogic Scale
研究概览
简要总结
Interscalene brachial plexus block is the gold standard for perioperative pain management in shoulder surgery. However, this technique would have side effects and potential serious complications. The aim of this study is to compare between the combination of ultrasound guided suprascapular and supraclavicular nerve blocks versus ultrasound guided interscalene brachial plexus block for post operative analgesia after shoulder instability surgery with latarjet procedure.
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)
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
- •ASA physical status I-III
- •18-75 years of age, inclusive
- •shoulder surgery (LATARJET technique)
排除标准
- •contraindications to brachial plexus block (e.g., allergy to local anesthetics, coagulopathy, malignancy or infection in the area)
- •existing neurological deficit
- •pregnancy
- •history of neck surgery or radiotherapy
- •severe respiratory disease
- •inability to understand the informed consent and demands of the study
研究组 & 干预措施
group BIS
scheduled for ultrasound guided interscalene blockade with 30 ml of bupivacaine 0.25%
干预措施: bupivacaine (Drug)
group BIS
scheduled for ultrasound guided interscalene blockade with 30 ml of bupivacaine 0.25%
干预措施: ultrasound (Device)
group BIS
scheduled for ultrasound guided interscalene blockade with 30 ml of bupivacaine 0.25%
干预措施: morphine (Drug)
group BS
scheduled for selective blockade of the ultrasound guided suprascapular (15 ml bupivacaine 0.25%) and supraclavicular (15 ml bupivacaine 0.25%) nerves blocks
干预措施: bupivacaine (Drug)
group BS
scheduled for selective blockade of the ultrasound guided suprascapular (15 ml bupivacaine 0.25%) and supraclavicular (15 ml bupivacaine 0.25%) nerves blocks
干预措施: ultrasound (Device)
group BS
scheduled for selective blockade of the ultrasound guided suprascapular (15 ml bupivacaine 0.25%) and supraclavicular (15 ml bupivacaine 0.25%) nerves blocks
干预措施: morphine (Drug)
结局指标
主要结局
Visual Analogic Scale
时间窗: until 48 hours postoperative
quality of postoperative analgesia
次要结局
- patient satisfaction(48 hours post performing nerves blocks)
- time to perform the blocks(up to 5 minutes)
- occurrence of complications(48 hours post performing nerves blocks)
- total dose of morphine consumption in mg(during 48 hours post operative)
研究者
Dr trabelsi walid
associate professor, MD
Tunisian Military Hospital