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In this study, the investigators are going to compare the analgesia effectiveness of interscalane block and suprascapular with axillary block in shoulder arthroplasties
In the preoperative period, the participants will be taken to the block room. The participants will be monitored, standard sedation will be applied.
The first group will be get interscalene block. The second group will be get suprascapular and axillary block. The third group patient will be get no block. Afterwards, the participants will be operated under general anesthesia. A patient-controlled analgesia device will be attached to each group of participants and their postoperative follow-up will be made.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study group: interscalene block + IV PCA | Experimental | preop usg guided interscalene block and IV PCA |
|
| Study group: suprascapular block + axillary block + IV PCA | Experimental | preop usg guided suprascapular block + axillary block and IV PCA |
|
| Control group: IV PCA | No Intervention | no block + IV PCA |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| interscalene block | Procedure | peripheral nerve block |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Opioid (mg) consumption | Opioid (mg) consumption | 48 hours |
| Measurement of postoperative pain | VAS (visual analog scale) (0: no pain, 10: the worst pain imaginable) | 48 hours |
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| Measure | Description | Time Frame |
|---|---|---|
| Operation time | minutes | during surgery |
| Hospital stay | days | postoperative period up to 3 days |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kübra Ozkan, MD | Istanbul Unıversity, Istanbul Faculty of Medicine, Anesthesiology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul University, Faculty of Medicine | Istanbul | Fatih | 34093 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31392721 | Background | Toma O, Persoons B, Pogatzki-Zahn E, Van de Velde M, Joshi GP; PROSPECT Working Group collaborators. PROSPECT guideline for rotator cuff repair surgery: systematic review and procedure-specific postoperative pain management recommendations. Anaesthesia. 2019 Oct;74(10):1320-1331. doi: 10.1111/anae.14796. Epub 2019 Aug 7. | |
| 22434159 |
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Study group - Study group- Control group
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open
| suprascapular block + axillary block |
| Procedure |
peripheral nerve block |
|
| Postoperatif complication | yes-no | postoperative period up to 3 days |
| Patient satisfaction | 5-point Likert scale: very satisfied (= 5), relatively satisfied (= 4), fairly satisfied (= 3), relatively dissatisfied (= 2) and very dissatisfied (= 1) | postoperative period up to 3 days |
| Beck Depression Inventory (BDI) | 0-9: indicates minimal depression 10-18: indicates mild depression 19-29: indicates moderate depression 30-63: indicates severe depression. | Will be done 3 times 1- on pre-operative hospitalization 2- in the hospital after surgery 3- in the 1st month follow-up after surgery |
| Lee SM, Park SE, Nam YS, Han SH, Lee KJ, Kwon MJ, Ji JH, Choi SK, Park JS. Analgesic effectiveness of nerve block in shoulder arthroscopy: comparison between interscalene, suprascapular and axillary nerve blocks. Knee Surg Sports Traumatol Arthrosc. 2012 Dec;20(12):2573-8. doi: 10.1007/s00167-012-1950-5. Epub 2012 Mar 21. |
| 26733274 | Background | Park JY, Bang JY, Oh KS. Blind suprascapular and axillary nerve block for post-operative pain in arthroscopic rotator cuff surgery. Knee Surg Sports Traumatol Arthrosc. 2016 Dec;24(12):3877-3883. doi: 10.1007/s00167-015-3902-3. Epub 2016 Jan 5. |
| 31583679 | Background | Cho N, Kang RS, McCartney CJL, Pawa A, Costache I, Rose P, Abdallah FW. Analgesic benefits and clinical role of the posterior suprascapular nerve block in shoulder surgery: a systematic review, meta-analysis and trial sequential analysis. Anaesthesia. 2020 Mar;75(3):386-394. doi: 10.1111/anae.14858. Epub 2019 Oct 3. |