Interscalene Block Versus Erector Spinae Plane Block for Shoulder Arthroscopy Anesthesia

Tanta University

Status: Enrolling

Conditions: Arthroscopy; Erector Spinae Plane Block; Interscalene Block

Treatments: Procedure: Erector spinae plane block; Procedure: Interscalene brachial plexus block

Study type: Interventional

Funder types: Other

Identifiers

NCT05646654

35914/10/22

Details and patient eligibility

About

The aim of this study is to compare the effectiveness of ESPB versus ISB 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 (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

Enrollment: 54 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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54 participants in 2 patient groups

Erector spinae plane block group

Active Comparator group

Description:

3ml lidocaine 2% will be used to anesthetize the skin. 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.

Treatment:

Procedure: Erector spinae plane block

Interscalene group

Active Comparator group

Description:

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

Treatment:

Procedure: Interscalene brachial plexus block