Application Of Combined Anterior Suprascapular Nerve Block and Superficial Cervical Plexus Block In Reverse Shoulder Arthroplasty Surgery, A Case Series
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 8
- 试验地点
- 1
- 主要终点
- Postoperative Change Ratio of Diaphragm Thickness Fraction
研究概览
简要总结
The suprascapular nerve, originating from the C5 trunk, provides innervation to the acromioclavicular and glenohumeral joints. The supraclavicular nerve, a branch of the cervical plexus, contributes to the sensory innervation of the upper deltoid region. Cervical and brachial plexus blocks can cause diaphragm paralysis. This study examined the effects of low-volume combined anterior suprascapular nerve block and superficial cervical plexus block on pain and phrenic nerve in participants underwent reverse shoulder arthroplasty surgery.
详细描述
A retrospective analysis was performed on data obtained from eight participants who underwent reverse shoulder arthroplasty surgery. Anterior suprascapular nerve block and superficial cervical plexus block were applied to these participants. Anterior suprascapular nerve block was performed using 5 ml and superficial cervical plexus block was performed using 3 ml of %0,5 bupivacaine. Ultrasound was used to measure the diaphragm thickness at the end of inspiration and expiration, and to calculate the diaphragm thickness fraction. Postoperative pain management included patient-controlled analgesia with morphine, opioid consumption and VAS score recorded by pain observation forms.
Data will be collected by examining these pain observation forms and diaphragm thickness measurements.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Retrospective
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
- •Population is defined by database within a given time frame
- •Participants who underwent combined anterior suprascapular nerve block and superficial cervical plexus block in reverse shoulder arthroplasty surgery
- •Participants aged 18-80
- •ASA I-II-III
排除标准
- •ASA score > III
- •Pediatric individuals under 18 years of age
- •Individuals who are pregnant
- •Known diaphragmatic paralysis
- •Had an allergy or toxicity to local anesthetic agents
- •Have an opioid drug allergy
结局指标
主要结局
Postoperative Change Ratio of Diaphragm Thickness Fraction
时间窗: Postoperatively 30th. min.
Postoperative Change Ratio of Diaphragm Thickness Fraction (%) at Postoperatively 30th. min.
次要结局
- Pain Assessment with Visual Analogue Scale at postoperatively 30th. Min.(Postoperatively 30th. min)
- Pain Assessment with Visual Analogue Scale at postoperatively 4th. Hours.(Postoperatively 4th. hour)
- Pain Assessment with Visual Analogue Scale at postoperatively 6th. Hours.(Postoperatively 6th. hour)
- Opioid Consumption at postoperatively 12th. Hours.(Postoperatively 12th. hour)
- Opioid Consumption at postoperatively 24th. Hours.(Postoperatively 24th. hour)
- Pain Assessment with Visual Analogue Scale at postoperatively 12th. Hours.(Postoperatively 12th. hour)
- Pain Assessment with Visual Analogue Scale at postoperatively 24th. Hours.(Postoperatively 24th. hour)
- Opioid Consumption at postoperatively 4th. Hours.(Postoperatively 4th. hour)
- Opioid Consumption at postoperatively 30th. Min.(Postoperatively 30th. min.)
- Opioid Consumption at postoperatively 6th. Hours.(Postoperatively 6th. hour)
研究者
Ebru Girgin Dinç, MD
Principal Investigator
Istanbul Medeniyet University