Comparison of the Analgesic Effects of Catheter-Based and Single-Shot Serratus Posterior Superior Intercostal Plane Block Versus No Block in Arthroscopic Shoulder Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Postoperative Opioid Consumption
研究概览
简要总结
Patients undergoing arthroscopic shoulder surgery often experience moderate to severe postoperative pain. Various medical treatments are employed to provide analgesia for these patients. The advancement of regional anesthesia techniques has made possible to both reduce the use of narcotic analgesics and provide long-term pain management benefits.
The Serratus Posterior Superior Intercostal Plane Block (SPSIPB) was first described in 2023 by Serkan Tulgar et al. Cadaveric studies and dermatomal analyses in patients have demonstrated its ability to provide analgesia in the back, neck, shoulder, axilla, and lateral thoracic regions.
Even though patients undergoing shoulder surgery benefit from the block; once the duration of a single-shot block wears off, they may experience severe pain again. The aim of this study is to investigate the analgesic effects of a single-shot SPSIPB compared to catheter-based SPSIPB with intermittent postoperative bolus administration provided by placing a catheter in this region.
The hypothesis of this study: In arthroscopic shoulder surgery, the intermittent bolus administration of the serratus posterior superior intercostal plane block using a catheter will result in lower pain scores, reduced opioid consumption, and improved patient satisfaction compared to single-shot application.
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
- Double (Investigator, Outcomes Assessor)
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
- •Aged between 18-80 years
- •No bleeding diathesis
- •Classified as ASA I-II-III
排除标准
- •Patients who do not provide consent
- •Patients with coagulopathy
- •History of allergy or intoxication to local anesthetic agents
- •Patients with advanced organ failure
- •History of neuropathic disease
- •Patients with mental retardation
- •Presence of infection at the injection site
- •Conditions in which regional anesthesia is contraindicated
- •Pediatric patients and those over 80 years of age
- •Pregnant patients
研究组 & 干预措施
Group 3: Catheter-based SPSIPB with intermittent postoperative bolus administration
干预措施: Serratus posterior superior intercostal plane block (catheter-based intermittent bolus) (Other)
Group 2: Patients who will receive a single-shot serratus posterior superior plane block
干预措施: Serratus posterior superior intercostal plane block (single-shot) (Other)
Group 1: This patient group will not undergo any regional block
结局指标
主要结局
Postoperative Opioid Consumption
时间窗: Postoperative 24 hours
Patient-Controlled Analgesia (Tramadol)
次要结局
- Patient Satisfaction (Likert scale)(Post surgery 24 hours)
- Postoperative Pain Scores(Postoperative 24 hours)
- Postoperative Nausea and Vomiting Scale(24 hours)
- Perioperative Remifentanyl Consumption(Perioperative assessment)
- Use of Rescue Analgesics in the Ward(24 hours)
研究者
ILKER YALCIN
Anesthesiology and Reanimation Resident, M.D.
Goztepe Prof Dr Suleyman Yalcın City Hospital