MINIMUM EFFECTIVE VOLUME OF BUPIVACAİNE FOR ANTERIOR SUPRASCAPULAR NERVE BLOCK

NCT05241977 | Completed

• 1 other identifier: Cosarcan1
• Study Type: observational
• Target: 67
• Locations: 1 country
• Sites: 1

Brief Summary

Various local anesthetic volumes are used in the literature for anterior suprascapular nerve block (ASSB). There are different studies between 15 ml and 5 ml. Effective local anesthetic volume studies for ASSB have not yet been performed. Our study is aimed to investigate the minimum effective local anesthetic volume for ASSB.

Conditions

Shoulder Pain; Supraspinatus Tendinitis; Bankart Lesions

Keywords

regional anesthesia; shoulder arthroscopy; ortopaedic anesthesia; brachial plexus blocks; diaphragm sparing nerve blocks

Outcome Measures

Primary Outcomes (1)

• postoperative analgesia

  minimum effective local anesthetic volume in postoperative analgesia of the anterior suprascapular nerve block (ASSB) and the maximum local anesthetic volume that can be diaphragm-sparing.

  postoperative 48 hours

Secondary Outcomes (1)

• diaphragm sparing nerve block

  0 and 30 min after the nerve block

Study Arms (1)

Anterior suprasscapular nerve block

A single researcher will perform the nerve blocks of all participants.

Procedure: anterior supra scapular nerve block

Interventions

anterior supra scapular nerve block PROCEDURE

nerve block for postoperative pain

Anterior suprasscapular nerve block

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Age greater than 18 years with American Society of Anesthesiologists Physical Status classification I to III scheduled to undergo unilateral arthroscopic shoulder surgery patients under general anesthesia.

You may qualify if:

• adults (age greater than 18 yr) with American Society of Anesthesiologists Physical Status classification I to III scheduled to undergo unilateral arthroscopic shoulder surgery under general anesthesia

You may not qualify if:

• dementia
• chronic opioid consumption
• chronic pain disease
• chronic obstructive pulmonary disease
• history of serious lung disease

Sponsors & Collaborators

• V.K.V. American Hospital, Istanbul: lead

Study Sites (1)

Amerikan Hastanesi

Istanbul, Turkey (Türkiye)

Location

Related Publications (8)

• Ullah H, Samad K, Khan FA. Continuous interscalene brachial plexus block versus parenteral analgesia for postoperative pain relief after major shoulder surgery. Cochrane Database Syst Rev. 2014 Feb 4;2014(2):CD007080. doi: 10.1002/14651858.CD007080.pub2.

  PMID: 24492959 BACKGROUND

• Fredrickson MJ, Krishnan S, Chen CY. Postoperative analgesia for shoulder surgery: a critical appraisal and review of current techniques. Anaesthesia. 2010 Jun;65(6):608-624. doi: 10.1111/j.1365-2044.2009.06231.x.

  PMID: 20565394 BACKGROUND

• Abdallah FW, Halpern SH, Aoyama K, Brull R. Will the Real Benefits of Single-Shot Interscalene Block Please Stand Up? A Systematic Review and Meta-Analysis. Anesth Analg. 2015 May;120(5):1114-1129. doi: 10.1213/ANE.0000000000000688.

  PMID: 25822923 BACKGROUND

• Kim DH, Lin Y, Beathe JC, Liu J, Oxendine JA, Haskins SC, Ho MC, Wetmore DS, Allen AA, Wilson L, Garnett C, Memtsoudis SG. Superior Trunk Block: A Phrenic-sparing Alternative to the Interscalene Block: A Randomized Controlled Trial. Anesthesiology. 2019 Sep;131(3):521-533. doi: 10.1097/ALN.0000000000002841.

  PMID: 31283740 BACKGROUND

• Ilfeld BM, Morey TE, Wright TW, Chidgey LK, Enneking FK. Continuous interscalene brachial plexus block for postoperative pain control at home: a randomized, double-blinded, placebo-controlled study. Anesth Analg. 2003 Apr;96(4):1089-1095. doi: 10.1213/01.ANE.0000049824.51036.EF.

  PMID: 12651666 BACKGROUND

• McNaught A, Shastri U, Carmichael N, Awad IT, Columb M, Cheung J, Holtby RM, McCartney CJ. Ultrasound reduces the minimum effective local anaesthetic volume compared with peripheral nerve stimulation for interscalene block. Br J Anaesth. 2011 Jan;106(1):124-30. doi: 10.1093/bja/aeq306. Epub 2010 Nov 8.

  PMID: 21059701 BACKGROUND

• Urmey WF, Talts KH, Sharrock NE. One hundred percent incidence of hemidiaphragmatic paresis associated with interscalene brachial plexus anesthesia as diagnosed by ultrasonography. Anesth Analg. 1991 Apr;72(4):498-503. doi: 10.1213/00000539-199104000-00014.

  PMID: 2006740 BACKGROUND

• Tran DQ, Elgueta MF, Aliste J, Finlayson RJ. Diaphragm-Sparing Nerve Blocks for Shoulder Surgery. Reg Anesth Pain Med. 2017 Jan/Feb;42(1):32-38. doi: 10.1097/AAP.0000000000000529.

  PMID: 27941477 BACKGROUND

Related Links

• Related Info

MeSH Terms

Conditions

Shoulder Pain; Bankart Lesions

Condition Hierarchy (Ancestors)

Arthralgia; Joint Diseases; Musculoskeletal Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Shoulder Fractures; Fractures, Bone; Wounds and Injuries; Shoulder Injuries

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Study Record Dates

• First Submitted: February 7, 2022
• First Posted: February 16, 2022
• Study Start: March 7, 2022
• Primary Completion: June 3, 2022
• Study Completion: July 13, 2022
• Last Updated: July 18, 2022

Record last verified: 2022-07

Locations

TU (1)