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

Tanta University

Status: Completed

Conditions: Shoulder Arthroscopy Anesthesia; Erector Spinae Plane Block; Randomized Controlled Trial; Interscalene Block

Treatments: Other: Interscalene group; Other: interscalene with Erector spinae plane block group

Study type: Interventional

Funder types: Other

Identifiers

NCT05646667

35915/10/22

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 50 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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50 participants in 2 patient groups

Interscalene with erector spinae plane block group

Experimental group

Description:

Patients will receive interscalene brachial plexus block using 10 ml of bupivacaine 0.5% and ultrasound guided erector spinae plane block at thoracic (T2) using 10 ml of bupivacaine 0.5%.

Treatment:

Other: interscalene with Erector spinae plane block group

Interscalene group

Experimental group

Description:

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

Treatment:

Other: Interscalene group