Interscalene Block Alone Versus Interscalene Block With Erector Spinae Plane Block for Shoulder Arthroscopy Anesthesia

Tanta University50 enrolled

Overview

The aim of this study is to compare the effectiveness of interscalene brachial plexus block alone versus interscalene brachial plexus block +Erector spinae plane block 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 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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Interscalene Block Erector Spinae Plane Block Shoulder Arthroscopy Anesthesia Randomized Controlled Trial

Interventions

interscalene with Erector spinae plane block groupOTHER

patients will receive interscalene brachial plexus block using 10 ml of bupivacaine 0.5% and US guided Erector spinae plane block at T2 using 10 ml of bupivacaine 0.5%.

Interscalene groupOTHER

patients will receive interscalene brachial plexus block using 15 ml of bupivacaine 0.5%.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Aged 18-65 years * Both genders, * BMI \< 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, Egypt

Outcomes

Primary Outcomes

Intraoperative fentanyl consumption

If the patient complains of pain during surgery, fentanyl will be administered 1 µg/kg IV increments.

Time frame: Intraoperative up to 4 hours

Secondary Outcomes

Amount of 24hrs postoperative rescue analgesic consumption

Intravenous meperidine (0.5 mg/kg) will be administered if numerical pain rating scale (NRS) score of more than 3.

Time frame: 24 hours postoperatively

Degree of pain by Numerical pain rating scale

Postoperative pain (using NRS at admission) will be measured at PACU, 1h, 2hr. 4hr, 6hr, 8hr, 12hr, 18hr, and 24hrs postoperative. NRS (0 represents "no pain" while 10 represents "the worst pain imaginable").

Time frame: 24 hours postoperatively

Time to first request of rescue analgesia.

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 postoperatively

Data from ClinicalTrials.gov

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