Interscalene Block Versus Erector Spinae Plane Block for Shoulder Arthroscopy Anesthesia

Erector Spinae Plane Block Clinical Trial

Official title:

Interscalene Block Versus Erector Spinae Plane Block for Shoulder Arthroscopy Anesthesia: A Randomized Controlled Trial

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05646654
• Other study ID #: 35914/10/22
• Status: Recruiting
• Phase: N/A
• Start date: December 15, 2022
• Est. completion date: May 15, 2023

Study information

• Verified date: April 2023
• Source: Tanta University
• Contact: Islam Morsy, MD
• Phone: 00201093387374
• Email: eslam.morsy[@]med.tanta.edu.eg
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of this study is to compare the effectiveness of ESPB versus ISB in anesthesia for shoulder arthroscopy

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

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 54
• Est. completion date: May 15, 2023
• Est. primary completion date: May 15, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

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

Related Conditions & MeSH terms

• Arthroscopy
• Erector Spinae Plane Block
• Interscalene Block

Intervention

Procedure:
• Erector spinae plane block
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
• Interscalene brachial plexus block
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

Locations

Country	Name	City	State
Egypt	Islam Morsy	Tanta	El-Gharbia

Sponsors (1)

Lead Sponsor	Collaborator
Tanta University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Intraoperative fentanyl consumption	Fntanyl will be administered 1 µg/kg IV increments.	30 minutes
Secondary	Postoperative pain	numeric rating scale (NRS) (0 represents "no pain" while 10 represents "the worst pain imaginable").	24 hours postoperative
Secondary	Rescue analgesia in the form of IV meperidine (0.5 mg/kg) boluses if NRS >3. Time to the 1st rescue analgesic request will be recorded		24 hours postoperative
Secondary	Total amount of rescue analgesic	Rescue analgesia in the form of IV meperidine (0.5 mg/kg) boluses if NRS >3.	24 hours postoperative