Comparison of Postoperative Analgesic Efficacy of SPSIPB and Combination of IBPB and SCPB

Ankara Etlik City Hospital80 enrolled

Overview

Shoulder arthroscopy is one of the frequently performed surgical procedures today. After shoulder surgery, ensuring sufficent analgesia is necessary for both the patient's comfort and for the early and regular performance of the required postoperative rehabilitation exercises. Nerve blocks provide better pain control, opioid consumption in the postoperative period, and consequently have advantages such as fewer side effects and lower risks of pulmonary and cardiac complications. Multimodal analgesia approach is preferred for patients undergoing shoulder arthroscopy. Along with intravenous analgesic agents, peripheral nerve blocks (applied to every suitable and consenting patient) are performed based on patient preference. This study aims to compare the analgesic efficacy in the postoperative period of patients undergoing shoulder arthroscopy with a combination of interscalene brachial plexus block and superficial cervical plexus block with serratus posterior superior intercostal plane block.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

TRIPLE

Enrollment

Conditions

Shoulder Arthroscopy İnterscalene Brachial Plexus Block Superficial Cervical Plexus Block

Interventions

Serratus posterior superior intercostal plane blockDRUG

Serratus posterior superior intercostal plane block is performed, under US guidance, before the surgical operation, and the induction of anesthesia, and when the patient is placed in the prone position.

Interscalene brachial plexus block and superficial cervical plexus blockDRUG

İnterscalene brachial plexus block and superficial cervical plexus block is performed, under US guidance, before the surgical operation, and the induction of anesthesia, and when the patient is placed in the prone position.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 18 to 65 years old * American Society of Anesthesiologists (ASA) physical status I-II-III * Body mass index 18 to 30 kg/m2 * Elective shoulder arthroscopy surgery Exclusion Criteria: * Under 18 and over 65 * ASA score IV and above * Advanced co-morbidity * History of bleeding diathesis * BMI under 18 kg/m2 and over 30 kg/m2 * Patient refusing the procedure * Patients who have previously undergone shoulder surgery * Chronic opioid or analgesic use * Patients who will operate under emergency conditions * Patients who will not undergo shoulder surgery

Outcomes

Primary Outcomes

Intraoperative remifentanil consumption

The amount of remifentanil that patients need to maintain anesthesia during the intraoperative period will be recorded

Time frame: During The intraoperatif period

Secondary Outcomes

Pain scores

Pain will be assessed at rest and while movement using the from 0 (no pain) to 10 (worst pain). Pain assessment will be done at the 1st, 2nd, 4th, 12th, and 24th hours after surgery

Time frame: First 24 hours after surgery