Ultrasound Guided Block for Postoperative Analgesia in Arthroscopic Shoulder Surgery

Comparison of Ultrasound Guided High Thoracic Erector Spinae Plane Block With Shoulder Block for Postoperative Analgesia in Arthroscopic Shoulder Surgery

This study aimed to compare the efficacy of high thoracic-ESPB with shoulder block as analgesic options for arthroscopic shoulder surgery.

Primary outcome:

• 24-hour analgesic consumption.

Secondary outcomes:

• Postoperative pain evaluated by: Visual Analogue Pain Scale (VAS).
• Time to first rescue analgesia and total postoperative consumption of analgesia.
• Effect of the block on Hemodynamics.
• Adverse effects in the form of postoperative nausea and vomiting (PONV).
• Patient satisfaction.

Inclusion Criteria:

• All patients within the age range ≥ 21 to ≤ 70 years old.
• Body mass index (BMI) ≤ 35kg m2.
• ASA I, II of both sex

Exclusion Criteria:

• Refusal of the patient to the study.
• Infection at the site of injection.
• Previous known allergy to any drug used in the study by history.
• Renal disease [Creatinine. >3mg/dl.].
• Hepatic disease. [ALT>50U/L, AST >50U/L].
• Un cooperative or psychological unstable patients.
• Coagulopathy or anticoagulant therapy.
• Pregnancy.