Shoulder Syndrome Clinical Trial
Official title:
Efficacy of Ultrasound-Guided Erector Spinae Plane Block for Pain Management Following Arthroscopic Shoulder Surgery
Verified date | September 2020 |
Source | Medipol University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Postoperative pain is important following arthroscopic shoulder surgery. Postoperative
effective pain treatment provides early mobilization and shorter hospital stay.Ultrasound
(US)-guided brachial plexus blocks such as interscalen and supraclavicular block are usually
performed. Interscalen brachial plexus block is one of the most preferred techniques among
these.
The US-guided erector spina plane block (ESPB) is a novel interfacial plan block defined by
Forero et al. Local anesthetic injection is administrated into the deep fascia of erector
spinae. ESPB provides thoracic analgesia at T5 level, abdominal analgesia at T7-9 level, and
lumbar analgesia at T10-12, L3 levels. There are a few case reports about the efficacy of
ESPB for acute and chronic shoulder pain. However, there are no randomized clinical studies.
The aim of this study is to evaluate the efficacy of the US-guided ESPB for postoperative
analgesia management after arthroscopic shoulder surgery.
Status | Completed |
Enrollment | 60 |
Est. completion date | September 16, 2020 |
Est. primary completion date | September 16, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 65 Years |
Eligibility |
Inclusion Criteria: - American Society of Anesthesiologists (ASA) classification I-II - Scheduled for arthroscopic shoulder surgery under general anesthesia Exclusion Criteria: - history of bleeding diathesis, - receiving anticoagulant treatment, - known local anesthetics and opioid allergy, - infection of the skin at the site of the needle puncture, - pregnancy or lactation, - patients who do not accept the procedure |
Country | Name | City | State |
---|---|---|---|
Turkey | Istanbul Medipol University Hospital | Istanbul | Bagcilar |
Lead Sponsor | Collaborator |
---|---|
Medipol University |
Turkey,
Forero M, Rajarathinam M, Adhikary SD, Chin KJ. Erector spinae plane block for the management of chronic shoulder pain: a case report. Can J Anaesth. 2018 Mar;65(3):288-293. doi: 10.1007/s12630-017-1010-1. Epub 2017 Nov 13. — View Citation
Fredrickson MJ, Krishnan S, Chen CY. Postoperative analgesia for shoulder surgery: a critical appraisal and review of current techniques. Anaesthesia. 2010 Jun;65(6):608-24. doi: 10.1111/j.1365-2044.2009.06231.x. Review. — View Citation
Selvi O, Tulgar S, Ozer Z. Case Report Presentation of Ultrasound-guided Erector Spinae Plane Block in Shoulder Surgery: Three Patients and Two Different Results. Cureus. 2018 Nov 3;10(11):e3538. doi: 10.7759/cureus.3538. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Opioid consumption | The primary aim is to compare perioperative and postoperative opioid consumption | Change from baseline opioid consumption at postoperative 1, 2, 4, 8, 16, 24 and 48 hours | |
Secondary | Pain scores (Visual analogue scores-VAS) | Postoperative pain assessment will be performed using the VAS score (0 = no pain, 10 = the most severe pain felt). The VAS scores at rest and during cough will be recorded | Changes from baseline pain scores at postoperative 1, 2, 4, 8, 16, 24 and 48 hours. |
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