RecruitingNot ApplicableNCT06660875

Comparison of Postoperative Analgesic Efficacy of SPSIPB and Combination of IBPB and SCPB

Comparison of Postoperative Analgesic Efficacy of Serratus Posterior Superıor Intercostal Plane Block and Combination of Interscalene Brachial Plexus Block and Superfisial Plexus Block in Shoulder Arthroscopies

Sponsor

Ankara Etlik City Hospital

Enrollment

80 participants

Start Date

Oct 21, 2024

Study Type

INTERVENTIONAL

Conditions

Shoulder Arthroscopy Serratus Posterior Superior Intercostal Plane Block İnterscalene Brachial Plexus Block Superficial Cervical Plexus Block

Summary

Shoulder arthroscopy is one of the frequently performed surgical procedures today. After shoulder surgery, ensuring sufficent analgesia is necessary for both the patient's comfort and for the early and regular performance of the required postoperative rehabilitation exercises. Nerve blocks provide better pain control, opioid consumption in the postoperative period, and consequently have advantages such as fewer side effects and lower risks of pulmonary and cardiac complications. Multimodal analgesia approach is preferred for patients undergoing shoulder arthroscopy. Along with intravenous analgesic agents, peripheral nerve blocks (applied to every suitable and consenting patient) are performed based on patient preference. This study aims to compare the analgesic efficacy in the postoperative period of patients undergoing shoulder arthroscopy with a combination of interscalene brachial plexus block and superficial cervical plexus block with serratus posterior superior intercostal plane block.

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria4

to 65 years old
American Society of Anesthesiologists (ASA) physical status I-II-III
Body mass index 18 to 30 kg/m2
Elective shoulder arthroscopy surgery

Exclusion Criteria10

Under 18 and over 65
ASA score IV and above
Advanced co-morbidity
History of bleeding diathesis
BMI under 18 kg/m2 and over 30 kg/m2
Patient refusing the procedure
Patients who have previously undergone shoulder surgery
Chronic opioid or analgesic use
Patients who will operate under emergency conditions
Patients who will not undergo shoulder surgery

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Interventions

DRUGSerratus posterior superior intercostal plane block

Serratus posterior superior intercostal plane block is performed, under US guidance, before the surgical operation, and the induction of anesthesia, and when the patient is placed in the prone position.

DRUGInterscalene brachial plexus block and superficial cervical plexus block

İnterscalene brachial plexus block and superficial cervical plexus block is performed, under US guidance, before the surgical operation, and the induction of anesthesia, and when the patient is placed in the prone position.