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Arthroscopic shoulder surgery, which has been frequently applied in recent years, provides long-term positive clinical results and increases the quality of life after surgery, while it can cause severe pain in the early postoperative period. Postoperative pain management is very important in shoulder arthroplasty. Adequate pain control; mental state, nutrition, cost of care, rehabilitation, and patient satisfaction, are of great importance for the patients' recovery and contribute to a successful surgical outcome.
In this study, the investigators aimed to compare the effects of suprascapular nerve block and shoulder pericapsular nerve block, which will be performed preoperatively with ultrasound, on the level of postoperative pain in patients who will undergo shoulder arthroscopy surgery under general anesthesia.
As a result of the power analysis the investigators conducted for this study, the minimum sample size was calculated as 32 people for each group, 64 people in total, at the 90% confidence interval.
64 patients who meet the inclusion criteria will be included in our study. The participants will be randomized and divided into 2 groups. Accordingly, the PENG block will be applied to 32 patients, and the suprascapular block will be applied to 32 patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group PENG | Active Comparator | The investigators performed a pericapsular nerve block on that patient group for postoperative analgesia. |
|
| Group SSNB | Active Comparator | The investigators performed a suprascapular nerve block on that patient group for postoperative analgesia. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pericapsular nerve block | Procedure | The investigators will perform a pericapsular nerve block on that patient group for postoperative analgesia in shoulder arthroscopy. |
|
| Measure | Description | Time Frame |
|---|---|---|
| The primary outcome measure of the study is the patients' postoperative pain scores (NRS) | Numerical rating scale (NRS) at 1, 6, 12, 18, 24, 30, and 36th hours. A numerical rating scale (NRS) requires the patient to rate their pain on a defined scale. For example, 0-10 where 0 is no pain and 10 is the worst pain imaginable. | 36 hours postoperatively |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative 36-hour total tramadol hydrochloride consumption | This will be measured by the PCA device in the 36 hours after | 36 hours postoperatively |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bakirkoy Dr. Sadi Konuk Research and Training Hospital | Istanbul | Bakirkoy | 34147 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34871240 | Background | Sun C, Zhang X, Ji X, Yu P, Cai X, Yang H. Suprascapular nerve block and axillary nerve block versus interscalene nerve block for arthroscopic shoulder surgery: A meta-analysis of randomized controlled trials. Medicine (Baltimore). 2021 Nov 5;100(44):e27661. doi: 10.1097/MD.0000000000027661. | |
| 34118263 | Background |
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From the date of publication, available data may begin. If requested, the data will be shared with the anesthetists dealing with shoulder blocks.
Two year within the publication date.
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| Suprascapular nerve block | Procedure | The investigators will perform a suprascapular nerve block on that patient group for postoperative analgesia in shoulder arthroscopy. |
|
| Bupivacaine Hydrochloride | Drug | The investigators will perform a pericapsular nerve block on that patient group for postoperative analgesia with bupivacaine hydrochloride |
|
| Bupivacaine Hydrochloride | Drug | The investigators will perform a suprascapular nerve block on that patient group for postoperative analgesia with bupivacaine hydrochloride |
|
| Kupeli I, Yazici Kara M. Anesthesia or analgesia? New block for shoulder surgery: pericapsular nerve group block. Braz J Anesthesiol. 2022 Sep-Oct;72(5):669-672. doi: 10.1016/j.bjane.2021.05.009. Epub 2021 Jun 9. |
| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
| D020069 | Shoulder Pain |
| D000377 | Agnosia |
| ID | Term |
|---|---|
| D018771 | Arthralgia |
| D007592 | Joint Diseases |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010468 | Perceptual Disorders |
| D019954 | Neurobehavioral Manifestations |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
| D000588 | Amines |
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