Interscalene Block Versus Erector Spinae Plane Block for Shoulder Arthroscopy Anesthesia
Study Details
Study Description
Brief Summary
The aim of this study is to compare the effectiveness of ESPB versus ISB in anesthesia for shoulder arthroscopy
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Regional anesthetic techniques can control pain effectively, both at rest and on movement, allowing earlier mobilization without the adverse effects of opioids. Among the various types of regional anesthetic techniques, the interscalene brachial plexus block (ISB) is a gold standard used nerve block technique for postoperative analgesia in patients undergoing shoulder surgery, as it has consistently been shown to significantly control.
the interscalene brachial plexus block (ISB) regional anesthesia offers many advantages over general anesthesia for both arthroscopic and open surgeries of the shoulder it provides excellent intraoperative anesthesia and muscle relaxation' as well as analgesia that continues into the postoperative period
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Active Comparator: Erector spinae plane block group 3ml lidocaine 2% will be used to anesthetize the skin. Using a 20-gauge block needle put in-plane in a cephalad-to-caudad orientation to position the tip into the fascial plane on the deep (anterior) side of the erector spinae muscle, 20 ml bupivacaine 0.5% will be injected. |
Procedure: Erector spinae plane block
Using a 20-gauge block needle put in-plane in a cephalad-to-caudad orientation to position the tip into the fascial plane on the deep (anterior) side of the erector spinae muscle, 20 ml bupivacaine 0.5% will be injected
|
| Active Comparator: Interscalene group Using a lateral-to-medial approach, the 25-gauge needle will be inserted into the middle scalene muscle, advanced, and placed immediately lateral to the nerve roots. the needle will be visualize using an ultrasound beam to avoid intraneural and intravascular injections. After confirming negative blood aspiration, we will inject 15 mL of 0.5% bupivacaine around the nerve roots |
Procedure: Interscalene brachial plexus block
Using a lateral-to-medial approach, the 25-gauge needle will be inserted into the middle scalene muscle, advanced, and placed immediately lateral to the nerve roots. the needle will be visualize using an ultrasound beam to avoid intraneural and intravascular injections. After confirming negative blood aspiration, we will inject 15 mL of 0.5% bupivacaine around the nerve roots
|
Outcome Measures
Primary Outcome Measures
- Intraoperative fentanyl consumption [30 minutes]
Fntanyl will be administered 1 µg/kg IV increments.
Secondary Outcome Measures
- Postoperative pain [24 hours postoperative]
numeric rating scale (NRS) (0 represents "no pain" while 10 represents "the worst pain imaginable").
- Rescue analgesia in the form of IV meperidine (0.5 mg/kg) boluses if NRS >3. Time to the 1st rescue analgesic request will be recorded [24 hours postoperative]
- Total amount of rescue analgesic [24 hours postoperative]
Rescue analgesia in the form of IV meperidine (0.5 mg/kg) boluses if NRS >3.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients with Body Mass Index < 40 kg/m2
-
American Society of Anesthesiologists (ASA) physical status I-II
-
scheduled for elective shoulder arthroscopy
Exclusion Criteria:
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Known allergy to local anesthetics
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Allergy to all opioid medications
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Diagnostic shoulder arthroscopic procedures
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Patients with chronic opioids
-
Patients who converted to general anesthesia use and coagulopathy
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Islam Morsy | Tanta | El-Gharbia | Egypt | 31527 |
Sponsors and Collaborators
- Tanta University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 35914/10/22