Supraclavicular Versus Interscalene Block for Shoulder Surgery

Tokat Gaziosmanpasa University62 enrolled

Overview

The purpose of this study is to compare the supraclavicular block to interscalene block in patients undergoing arthroscopic shoulder surgery.

The aim of this study is to evaluate the efficacy of the supraclavicular block in comparison with interscalene block on postoperative pain, quality of recovery and side effects in patients undergoing arthroscopic shoulder surgery under general anesthesia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Pain

Interventions

Supraclavicular BlockPROCEDURE

Under ultrasound guidance an insulated needle is advanced with in- plane technique into the brachial plexus sheath and 20ml 0.25% bupivacaine will be administered

Interscalene BlockPROCEDURE

Under ultrasound guidance an insulated needle will be placed through the middle scalene muscle,into the interscalene groove with in-plane technique and 20ml 0.25%bupivacaine will be administered into the brachial plexus

BupivacaineDRUG

20ml 0.25% bupivacaine will be injected for brachial plexus block

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients undergoing shoulder surgery in American Society of Anesthesiologists physical status I-II Exclusion Criteria: * with a known allergy to study medications, * chronic opioid use, * ipsilateral upper limb neurological deficits, * severe respiratory disease, * coagulopathy

Locations (1)

Gaziosmanpasa University Medical School

Tokat Province, Turkey (Türkiye)

Outcomes

Primary Outcomes

Postoperative Pain

The visual analog scale will be used for assessment

Time frame: up to postoperative 24 hours

Secondary Outcomes

Quality of recovery

The Quality of Recovery-40 (QR40) questionnaire will be used for assessment

Time frame: in the postoperative 24 hours

Motor block

The muscle force will be evaluated with scale 0 to 3( 0:normal muscle force, 1: reduced muscle force, 2: impaired mobility 3: paralysis

Time frame: up to postoperative 24 hours

Sensory block

The sensorial block will be assessed by pinprick test.

Time frame: up to postoperative 24 hours

Adverse events

The number of patients with adverse events will be recorded.

Time frame: up to postoperative 24 hours

Analgesics requirement time

the first intravenous analgesic requirement time will be recorded.

Time frame: up to postoperative 24 hours

Systolic Blood pressure changes

The blood pressure will be measured non invasively and the systolic blood pressure lower than 90 mmHg or decrease more than 20% of baseline will be accepted as a hypotension.

Time frame: at time of surgery

Heart rate changes

The heart rate will be assessed via electrocardiographic monitoring and recorded as beat/minute.

Data from ClinicalTrials.gov

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