- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04822610
Comparison of Interscalene Block and Suprascapular With Axillary Block
Comparison of Analgesic Effectiveness of Ultrasound Guided Interscalene Block Versus Suprascapular With Axillary Block in Shoulder Arthroplasties
Study Overview
Status
Conditions
Intervention / Treatment
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.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Fatih
-
Istanbul, Fatih, Turkey, 34093
- Istanbul University, Faculty of Medicine
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
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
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Study group: interscalene block + IV PCA
preop usg guided interscalene block and IV PCA
|
peripheral nerve block
|
EXPERIMENTAL: Study group: suprascapular block + axillary block + IV PCA
preop usg guided suprascapular block + axillary block and IV PCA
|
peripheral nerve block
|
NO_INTERVENTION: Control group: IV PCA
no block + IV PCA
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Opioid (mg) consumption
Time Frame: 48 hours
|
Opioid (mg) consumption
|
48 hours
|
Measurement of postoperative pain
Time Frame: 48 hours
|
VAS (visual analog scale) (0: no pain, 10: the worst pain imaginable)
|
48 hours
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Operation time
Time Frame: during surgery
|
minutes
|
during surgery
|
Hospital stay
Time Frame: postoperative period up to 3 days
|
days
|
postoperative period up to 3 days
|
Postoperatif complication
Time Frame: postoperative period up to 3 days
|
yes-no
|
postoperative period up to 3 days
|
Patient satisfaction
Time Frame: postoperative period up to 3 days
|
5-point Likert scale: very satisfied (= 5), relatively satisfied (= 4), fairly satisfied (= 3), relatively dissatisfied (= 2) and very dissatisfied (= 1)
|
postoperative period up to 3 days
|
Beck Depression Inventory (BDI)
Time Frame: 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
|
0-9: indicates minimal depression 10-18: indicates mild depression 19-29: indicates moderate depression 30-63: indicates severe depression.
|
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
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Kübra Ozkan, MD, Istanbul Unıversity, Istanbul Faculty of Medicine, Anesthesiology
Publications and helpful links
General Publications
- 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.
- 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.
- 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.
- 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.
Study record dates
Study Major Dates
Study Start (ACTUAL)
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ACTUAL)
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 2020/1562
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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