Interscalene Versus Costoclavicular Blocks for Shoulder Surgery

Sakarya University

Status: Completed

Conditions: Postoperative Pain; Shoulder Surgeries Operations; Interscalene Blocks; Costoclavicular Block; Regional Anesthesia

Treatments: Drug: Interscalene Nerve Block; Drug: Costoclavicular block; Procedure: Interscalene block

Study type: Interventional

Funder types: Other

Identifiers

NCT06953947

E-16214662-050.01.04-176689116

Details and patient eligibility

About

AIM: Shoulder surgeries are among the most painful surgical procedures in orthopedic practice. Interscalene brachial plexus block, although the most commonly utilized regional anesthesia technique for alleviating pain following shoulder surgery, may result in complications such as hemidiaphragmatic paresis, hoarseness. More distal blocks along the brachial plexus may provide postoperative analgesia while potentially having less effect on respiratory functions. The aim of this study is to determine whether there are differences in postoperative pain scores and opioid consumption between interscalene block (ISB) and costoclavicular brachial plexus block (CCB).

MATERIALS AND METHODS: Following ethical approval, all eligible patients undergoing for shoulder surgery under general anesthesia between 01.11.2022 and 01.11.2023 will be enrolled and to be divided into two groups following written informed consent, with one group receiving ISB and the other group receiving CCB. A blinded researcher will record pain scores at postoperative 0.5, 1, 6, 12, 18, and 24 hours. Demographic data of patients, postoperative opioid consumption, time to first analgesic request, rescue analgesic requirements, adverse effects and hemodynamic parameters will be compared statistically.

Enrollment: 62 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients undergoing unilateral shoulder surgery
• ASA (American Society of Anesthesiology) class I, II and III patients

Exclusion criteria

• Coagulopathy
• Chronic Pulmoner Disease
• Hypersensitivity to local anesthetics
• Ipsilateral neurological deficits
• Non-communicative patients

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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62 participants in 2 patient groups

Group CCB

Experimental group

Description:

The group of patients which received costoclavicular block

Treatment:

Drug: Costoclavicular block

Drug: Costoclavicular block

Group ISB

Experimental group

Description:

The group of patients which received interscalene block

Treatment:

Procedure: Interscalene block

Drug: Interscalene Nerve Block