Clinical trial NCT04822610: Comparison of Interscalene Block and Suprascapular With Axillary Block
Official title: Comparison of Analgesic Effectiveness of Ultrasound Guided Interscalene Block Versus Suprascapular With Axillary Block in Shoulder Arthroplasties
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Shoulder Arthroplasty
Ultrasound Guided
Keywords: axillary block
suprascapular block
Lead sponsor: Istanbul University
Sponsor class: OTHER
First posted: 2021-03-30
Enrollment: 76
Sex: ALL
Minimum age (years): 18
Maximum age (years): 90
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Study group - Study group- Control group
Primary purpose: TREATMENT

Brief summary: In this study, the investigators are going to compare the analgesia effectiveness of interscalane block and suprascapular with axillary block in shoulder arthroplasties

Detailed description: 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.

Eligibility criteria: Inclusion Criteria:

* accepting the study protocol,
* age older than 18 years and younger than 90 years,
* undergoing shoulder arthroplasty surgery
* the American Society of Anesthesiologist (ASA) physical status of I-II-III-IV

Exclusion Criteria:

* severe respiratory distress
* patients with local anesthetic allergy
* contralateral hemidiaphragmatic parrhesia
* recurrent laryngeal nerve palsy
* infection at the injection site
* coagulation disorder

Primary outcomes:
measure: Opioid (mg) consumption
timeFrame: 48 hours
measure: Measurement of postoperative pain
timeFrame: 48 hours
Secondary outcomes:
Other outcomes:
measure: Operation time
timeFrame: during surgery
measure: Hospital stay
timeFrame: postoperative period up to 3 days
measure: Postoperatif complication
timeFrame: postoperative period up to 3 days
measure: Patient satisfaction
timeFrame: postoperative period up to 3 days
measure: Beck Depression Inventory (BDI)
timeFrame: 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
Locations:
city: Istanbul
country: Turkey
facility: Istanbul University, Faculty of Medicine
state: Fatih
Study officials:
affiliation: Istanbul Unıversity, Istanbul Faculty of Medicine, Anesthesiology
name: Kübra Ozkan, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.
citation: 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.
citation: 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.
citation: 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.