The Effectiveness of Different Techniques of Interscalene Brachial Plexus Block With General Anesthesia for Shoulder Arthroscopy
Study Details
Study Description
Brief Summary
There are different techniques of interscalene brachial plexus block, we aimed to evaluate the effectiveness of 3 of them as analgesia during shoulder arthroscopy surgery under general anesthesia.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Prospective randomized controlled study
There were 4 groups included in our study:
Group N: nerve stimulator guided interscalene brachial plexus block was done Group U:
ultrasound guided interscalene brachial plexus block was done Group NU: dual guidance (using both nerve stimulator and ultrasound) Group C: control group We assessed in each group: heart rate, noninvasive blood pressure, time needed for block, onset of sensory and motor power loss and their offset, and finally patient satisfaction.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: NU group Bth nerve stimulator and ultrasound guided interscalene brachial plexus block |
Device: ultrasound and nerve stimulator
nerve stimulator and ultrasound guided interscalene brachial plexus block
|
Active Comparator: U group Ultrasound guided interscalene brachial plexus block |
Device: ultrasound and nerve stimulator
nerve stimulator and ultrasound guided interscalene brachial plexus block
|
Active Comparator: N group Nerve stimulator guided interscalene brachial plexus block |
Device: ultrasound and nerve stimulator
nerve stimulator and ultrasound guided interscalene brachial plexus block
|
No Intervention: C group No block only IV analgesics |
Outcome Measures
Primary Outcome Measures
- Analgesic effect of each technique [12 hour]
using visual analogue scale for pain The patient is asked to express the degree of pain in numbers from 0-10, where 0 means no pain and 10 represents severe pain.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Age: 18-65 years old.
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Sex: Both sexes.
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ASA I & II.
Exclusion Criteria:
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- Patient refusal.
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Bleeding disorders.
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Damage or disease of the brachial plexus.
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ASA more than II.
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Pre-existing peripheral neuropathy.
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Patients with neuromuscular diseases.
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Patients with known hypersensitivity to drugs of the study.
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Patients with local skin infection at the site of injection.
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Psychiatric diseases interfering with evaluation of the block.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Faculty of Medcine | Minya | Egypt | 61111 |
Sponsors and Collaborators
- Minia University
Investigators
- Study Chair: Ahmed K Mohamed, MD, Professor
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 219:7/2019