Clinical trial NCT06953947: Interscalene Versus Costoclavicular Blocks for Shoulder Surgery
Official title: A Comparison Between Interscalene and Costoclavicular Blocks for Pain Relief After Shoulder Surgery
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Postoperative Pain
Shoulder Surgeries Operations
Regional Anesthesia
Costoclavicular Block
Interscalene Blocks
Keywords: analgesia
brachial plexus
postoperative pain
shoulder surgery
Lead sponsor: Sakarya University
Sponsor class: OTHER
First posted: 2025-05-01
Enrollment: 62
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: A total of 62 patients undergoing for shoulder surgery under general anesthesia between 01.11.2022 and 01.11.2023 were divided into two groups following written informed consent, with one group receiving ISB and the other group receiving CCB. A blinded researcher recorded pain scores at postoperative 0.5, 1, 6, 12, 18, and 24 hours
Primary purpose: TREATMENT

Brief summary: AIM: Shoulder surgeries are among the most painful surgical procedures in orthopedic practice. Interscalene brachial plexus block, although the most commonly utilized regional anesthesia technique for alleviating pain following shoulder surgery, may result in complications such as hemidiaphragmatic paresis, hoarseness. More distal blocks along the brachial plexus may provide postoperative analgesia while potentially having less effect on respiratory functions. The aim of this study is to determine whether there are differences in postoperative pain scores and opioid consumption between interscalene block (ISB) and costoclavicular brachial plexus block (CCB).

MATERIALS AND METHODS: Following ethical approval, all eligible patients undergoing for shoulder surgery under general anesthesia between 01.11.2022 and 01.11.2023 will be enrolled and to be divided into two groups following written informed consent, with one group receiving ISB and the other group receiving CCB. A blinded researcher will record pain scores at postoperative 0.5, 1, 6, 12, 18, and 24 hours. Demographic data of patients, postoperative opioid consumption, time to first analgesic request, rescue analgesic requirements, adverse effects and hemodynamic parameters will be compared statistically.


Eligibility criteria: Inclusion Criteria:

* Patients undergoing unilateral shoulder surgery
* ASA (American Society of Anesthesiology) class I, II and III patients

Exclusion Criteria:

* Coagulopathy
* Chronic Pulmoner Disease
* Hypersensitivity to local anesthetics
* Ipsilateral neurological deficits
* Non-communicative patients

Primary outcomes:
measure: Postoperative Pain Measurement
timeFrame: Measured at Postoperative 0.5, 1, 6, 12, 18, and 24 hours
Secondary outcomes:
measure: Postoperative Opioid Consumption
timeFrame: Postoperative 24 hours.
measure: Time to first analgesic request
timeFrame: Postoperative 24 hours
measure: Rescue analgesic requirements
timeFrame: Postoperative 24 hours
measure: Adverse effects
timeFrame: Postoperative 24 hours
Other outcomes:
Locations:
city: Sakarya
country: Turkey
facility: Sakarya University Training and Research Hospital
Study officials:
References: