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The purpose of this study is to compare the supraclavicular block to interscalene block in patients undergoing arthroscopic shoulder surgery.
The aim of this study is to evaluate the efficacy of the supraclavicular block in comparison with interscalene block on postoperative pain, quality of recovery and side effects in patients undergoing arthroscopic shoulder surgery under general anesthesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Supraclavicular Block | Experimental | Ultrasound guided supraclavicular block with 20 ml of 0.25% bupivacaine will be performed |
|
| Interscalene block | Active Comparator | Ultrasound guided inter scalene block with 20ml of 0.25% bupivacaine will be performed. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Supraclavicular Block | Procedure | Under ultrasound guidance an insulated needle is advanced with in- plane technique into the brachial plexus sheath and 20ml 0.25% bupivacaine will be administered |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative Pain | The visual analog scale will be used for assessment | up to postoperative 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of recovery | The Quality of Recovery-40 (QR40) questionnaire will be used for assessment | in the postoperative 24 hours |
| Motor block | The muscle force will be evaluated with scale 0 to 3( 0:normal muscle force, 1: reduced muscle force, 2: impaired mobility 3: paralysis |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Tugba Karamanaraman, M.D. | Gaziosmanpasa University Medical School | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Gaziosmanpasa University Medical School | Tokat Province | 60100 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| D014463 | Ultrasonography |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| Interscalene Block | Procedure | Under ultrasound guidance an insulated needle will be placed through the middle scalene muscle,into the interscalene groove with in-plane technique and 20ml 0.25%bupivacaine will be administered into the brachial plexus |
|
| Bupivacaine | Drug | 20ml 0.25% bupivacaine will be injected for brachial plexus block |
|
|
| Ultrasound | Device | The Ultrasound will be used for brachial plexus visualization |
|
| up to postoperative 24 hours |
| Sensory block | The sensorial block will be assessed by pinprick test. | up to postoperative 24 hours |
| Adverse events | The number of patients with adverse events will be recorded. | up to postoperative 24 hours |
| Analgesics requirement time | the first intravenous analgesic requirement time will be recorded. | up to postoperative 24 hours |
| Systolic Blood pressure changes | The blood pressure will be measured non invasively and the systolic blood pressure lower than 90 mmHg or decrease more than 20% of baseline will be accepted as a hypotension. | at time of surgery |
| Heart rate changes | The heart rate will be assessed via electrocardiographic monitoring and recorded as beat/minute. | at time of surgery |
| D000588 |
| Amines |
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |