Comparison of the Postoperative Analgesic Efficacy of SPSIPB and ISBPB

Ankara Etlik City Hospital

Status: Completed

Conditions: Shoulder Arthroscopy; Peripheral Nerve Block; Pain Management

Treatments: Procedure: Serratus posterior superior intercostal plane block; Procedure: Group without peripheral nerve block; Procedure: Interscalene brachial plexus block

Study type: Interventional

Funder types: Other

Identifiers

NCT06626191

AEŞH-EK1-2024-0073

Details and patient eligibility

About

Shoulder arthroscopy is one of the common surgical procedures performed today. After shoulder surgery, providing adequate analgesia is necessary for both the comfort of the patient and the ability to perform the necessary post-operative rehabilitation exercises early and regularly.

Nerve blocks reduces opioid consumption in the postoperative period by providing better pain control and therefore has advantages such as fewer side effects and less risk of pulmonary and cardiac complications.

In this study; it was aimed to compare the analgesic effectiveness of interscalene brachial plexus block and serratus posterior superior intercostal plane block, with each other and with the control group in the postoperative period in patients who underwent shoulder arthroscopy.

Enrollment: 90 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged 18-80 years
• American Society of Anesthesiologists (ASA) score I-II-III
• Body Mass Index (BMI) between 18-30 kg/m2

Exclusion criteria

• Patients under 18 and over 80 years of age
• ASA score IV and above
• Patients with a history of bleeding diathesis
• BMI below 18 or above 30 kg/m2

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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90 participants in 3 patient groups

Interscalene brachial plexus block

Active Comparator group

Description:

After the patients are monitored and in the supine position, after appropriate field sterilization, interscalene brachial plexus block will be performed on the patients using 30 ml of local anesthetic solution (0.25% bupivacaine) under ultrasound guidance. In the intraoperative period, intravenous analgesics (dexketoprofen 50 mg, tramadol 100 mg) will be given.

Treatment:

Procedure: Interscalene brachial plexus block

Serratus posterior superior intercostal plane block

Active Comparator group

Description:

After the patients are monitored and in the sitting position, after appropriate field sterilization, a serratus posterior superior intercostal plane block will be performed on the patients using 30 ml of local anesthetic solution (0.25% bupivacain) under ultrasound guidance. In the intraoperative period, intravenous analgesics (dexketoprofen 50 mg, tramadol 100 mg) will be given.

Treatment:

Procedure: Serratus posterior superior intercostal plane block

Group without peripheral nerve block

Active Comparator group

Description:

After the patients are monitored, they will be operated under general anesthesia without peripheral nerve block and intraoperative intravenous analgesics (dexketoprofen 50 mg, tramadol 100 mg) will be given.

Treatment:

Procedure: Group without peripheral nerve block