Ultrasound-Guided Extrafascial Versus Intrafascial Interscalene Brachial Plexus Block in Shoulder Arthroscopy

Tanta University

Status: Unknown

Conditions: Arthroscopy; Intrafascial Interscalene Brachial Plexus Block; Analgesia

Treatments: Drug: Bupivacaine; Procedure: Intrafascial interscalene brachial plexus block; Procedure: Extrafascial interscalene brachial plexus block group

Study type: Interventional

Funder types: Other

Identifiers

NCT05222334

33802/4/20

Details and patient eligibility

About

The aim of the study is to compare the diaphragmatic excursion and postoperative analgesia in the extrafascial versus intrafascial Interscalene brachial plexus block in patients undergoing shoulder arthroscopy.

Enrollment: 50 estimated patients

Sex: All

Ages: 21 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult patients of both sexes aged (21-60years) with American Society of Anesthesiologists (ASA) physical status I/II scheduled for shoulder arthroscopy

Exclusion criteria

1. Patient refusal.
2. Pre-existing (obstructive or restrictive) pulmonary disease.
3. Bleeding disorders (coagulopathy).
4. Mental dysfunction.
5. History of allergy to local anesthetics.
6. Pregnancy
7. Body mass index (BMI) >40

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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50 participants in 2 patient groups

Intrafascial interscalene brachial plexus block group

Experimental group

Description:

The patients will receive 10 ml of 0.5% bupivacaine for intrafascial interscalene brachial plexus block group

Treatment:

Drug: Bupivacaine

Procedure: Intrafascial interscalene brachial plexus block

Extrafascial interscalene brachial plexus block group

Experimental group

Description:

The patients will receive 10 ml of 0.5% bupivacaine for extrafascial interscalene brachial plexus block group

Treatment:

Drug: Bupivacaine

Procedure: Extrafascial interscalene brachial plexus block group