Hemi-diaphragmatic Paresis and Erector Spinae Plane Block

Sponsor

Antalya Training and Research Hospital (Other)

Overall Status

Completed

CT.gov ID

NCT05096377

Collaborator

(none)

Enrollment

Location

3.8

Actual Duration (Months)

5.2

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

To assess the incidence of hemi-diaphragmatic paresis following ultrasound-guided erector spinae plane (ESP) block

Condition or Disease	Intervention/Treatment	Phase
Anesthesia, Regional Shoulder	Other: ESP block

Detailed Description

The aim of the study is to assess the effect of hemi-diaphragmatic paresis following ultrasound-guided erector spinae plane block.

Study Design

Study Type:

Observational [Patient Registry]

Actual Enrollment :

20 participants

Observational Model:

Case-Only

Time Perspective:

Prospective

Official Title:

The Effect of Erector Spinae Plane Block on Hemidiaphragm Paresis in Shoulder Surgery

Actual Study Start Date :

Oct 7, 2021

Actual Primary Completion Date :

Jan 31, 2022

Actual Study Completion Date :

Jan 31, 2022

Arms and Interventions

Arm	Intervention/Treatment
ESP block group Diaphragmatic excursion was measured using M-mode ultrasound during normal breathing, deep breathing and with the sniff manoeuvre.	Other: ESP block ESP block performed using ultrasound guidance. Diaphragmatic excursion was measured using M-mode ultrasound during normal breathing, deep breathing and with the sniff manoeuvre.

Arm

Intervention/Treatment

ESP block group

Diaphragmatic excursion was measured using M-mode ultrasound during normal breathing, deep breathing and with the sniff manoeuvre.

Other: ESP block

ESP block performed using ultrasound guidance. Diaphragmatic excursion was measured using M-mode ultrasound during normal breathing, deep breathing and with the sniff manoeuvre.

Outcome Measures

Primary Outcome Measures

incidence of hemi-diaphragmatic paresis [30 minutes]
Diaphragmatic excursion was measured using M-mode ultrasound during normal breathing, deep breathing and with the sniff manoeuvre.

Secondary Outcome Measures

intraoperative opioid consumption [2 hour]
intraoperative opioid consumption will be recorded

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 85 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

18 - 85 years
American Society of Anesthesiology (ASA) I-III
elective shoulder surgery

Exclusion Criteria:

patient's refusal
under 18 years of age or over 65 years of age
ASA IV and above
known allergy to local anaesthetic drugs
the block cannot be applied due to bleeding disorders or localized skin infection at the injection site
history of neurological and/or neuromucular disease
history of severe bronchopulmonary disease
a moderate to severe decrease in preoperative pulmonary function, or abnormality in preoperative chest radiography data (pleural effusion, pneumothorax, or hemidiaphragm elevation)