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The aim of this study is to compare the effectiveness of interscalene brachial plexus block alone versus interscalene brachial plexus block +Erector spinae plane block in anesthesia for shoulder arthroscopy.
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 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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Interscalene with erector spinae plane block group | Experimental | Patients will receive interscalene brachial plexus block using 10 ml of bupivacaine 0.5% and ultrasound guided erector spinae plane block at thoracic (T2) using 10 ml of bupivacaine 0.5%. |
|
| Interscalene group | Experimental | Patients will receive interscalene brachial plexus block using 15 ml of bupivacaine 0.5%. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| interscalene with Erector spinae plane block group | Other | patients will receive interscalene brachial plexus block using 10 ml of bupivacaine 0.5% and US guided Erector spinae plane block at T2 using 10 ml of bupivacaine 0.5%. |
| Measure | Description | Time Frame |
|---|---|---|
| Intraoperative fentanyl consumption | If the patient complains of pain during surgery, fentanyl will be administered 1 µg/kg IV increments. | Intraoperative up to 4 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Amount of 24hrs postoperative rescue analgesic consumption | Intravenous meperidine (0.5 mg/kg) will be administered if numerical pain rating scale (NRS) score of more than 3. | 24 hours postoperatively |
| Degree of pain by Numerical pain rating scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Islam Morsy, MD | Tanta University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Islam Morsy | Tanta | Egypt |
the data will be available upon reasonable request from the principle investigator.
from one year after completion of the study.
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| Interscalene group | Other | patients will receive interscalene brachial plexus block using 15 ml of bupivacaine 0.5%. |
|
Postoperative pain (using NRS at admission) will be measured at PACU, 1h, 2hr. 4hr, 6hr, 8hr, 12hr, 18hr, and 24hrs postoperative. NRS (0 represents "no pain" while 10 represents "the worst pain imaginable").
| 24 hours postoperatively |
| Time to first request of rescue analgesia. | 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 postoperatively |