Interscalene Block Versus Erector Spinae Plane Block for Shoulder Arthroscopy Anesthesia

Tanta University54 enrolled

Overview

The aim of this study is to compare the effectiveness of ESPB versus ISB in anesthesia for shoulder arthroscopy

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 Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Interscalene Block Erector Spinae Plane Block Arthroscopy

Interventions

Erector spinae plane blockPROCEDURE

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

Interscalene brachial plexus blockPROCEDURE

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

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 YearsHealthy volunteers:

Medical Language ↔ Plain English

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: * Known allergy to local anesthetics * Allergy to all opioid medications * Diagnostic shoulder arthroscopic procedures * Patients with chronic opioids * Patients who converted to general anesthesia use and coagulopathy

Locations (1)

Islam Morsy

Tanta, El-Gharbia, Egypt

RECRUITING

Outcomes

Primary Outcomes

Intraoperative fentanyl consumption

Fntanyl will be administered 1 µg/kg IV increments.

Time frame: 30 minutes

Secondary Outcomes

Postoperative pain

numeric rating scale (NRS) (0 represents "no pain" while 10 represents "the worst pain imaginable").

Time frame: 24 hours postoperative

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

Time frame: 24 hours postoperative

Total amount of rescue analgesic

Rescue analgesia in the form of IV meperidine (0.5 mg/kg) boluses if NRS \>3.

Time frame: 24 hours postoperative

Central Contacts

Islam Morsy, MD

CONTACT

00201093387374 eslam.morsy@med.tanta.edu.eg

Islam Morsy

CONTACT

00201093387374 eslam.morsy@med.tanta.edu.eg

Data from ClinicalTrials.gov

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