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Completed

NCT Number: NCT04669639

A Comparison of ESP Block to SSN Block for Analgesia in Shoulder Surgery

A comparison between Erector Spinae Plane block and Suprascapular nerve block in providing analgesia for shoulder surgery

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Key information

Conditions

Arthroscopic Shoulder Surgery

Age range

21 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Faculty of Medicine, Zagazig University

Zagazig, 44519, Egypt

About this study

Suprascapular nerve block is considered a phrenic nerve sparing approach that recently introduced as alternative for interscalene brachial plexus nerve block in shoulder surgery. However, some researchers reported that Suprascapular nerve block alone results in an ineffective analgesia. Erector Spinae Plane block is supposed to be able in providing adequate analgesia in shoulder surgery

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • ASA I and II,
  • Age above 21 years and below 60 years in both sexes,
  • Cooperative patients,
  • Patients with a BMI (body mass index) not exceeding 35.

Exclusion criteria

  • patients with cardiovascular or respiratory compromise,
  • Patient refusal,
  • Coagulopathy,
  • Local tissue infection,
  • Allergy to local anesthesia,
  • prior to cervical or thoracic spine surgery.

Treatment and study plan

Block procedures for shoulder surgery analgesia

Other

The patients in group (a) will be placed in lateral decubitus. Then, an ultrasound-guided aseptic technique with a high-frequency linear transducer will be used to locate the transverse process of T2, where a needle will be inserted in a cephalocaudal direction until reaching the space between the fascia of the erector spinae and the transverse process of T2 and 30 ml of local anesthetic of bupivacaine 0.5% will be injected.

  • In group (b), SSC nerve block will be done as follow: In the suprascapular notch, an ultrasound-guided aseptic technique with a high-frequency linear transducer will be used. The linear probe, enveloped in a sterile sheath, will be placed parallel to the spine of the scapula to visualize it and then will be moved cephalic to the supraspinatus fossa. The probe will then be moved laterally up to the scapular notch, where the nerve will be identified by its round hyperechogenic shape 4 cm deep.
  • control group: patients will receive only general anesthesia

Primary outcomes

  1. Intraoperative analgesia

    Time frame: The intraoperative patients' hemodynamics every 30 min were collected and analyzed till the end of surgery . Also the total dose of opioids consumed intraoperatively will be recorded. Postoperative consumed opioid for 24 hours also will calculated

    Recording of the patients' hemodynamics (heart rate and non-invasive blood pressure) and total dose of opioids consumption intraoperatively and postoperatively.

Sponsors and collaborators

Lead sponsor

Zagazig University

Other Gov

Registry information

Official study title

A Comparison of Erector Spinae Plane Block to Suprascapular Nerve Block for Analgesia in Shoulder Surgery

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Dec 17, 2020
Registry last updated
May 24, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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