About this trial
This study aims to compare the frequency of occurrence of ipsilateral shoulder pain in patients undergoing thoracotomy with ultrasound-guided interscalene block, anterior suprascapular block as adjunct to epidural and epidural block only.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age > 18 years and ≤ 65 years old.
American Society of Anesthesiologists (ASA) physical status II-III.
Body mass index 18-35 kg/m2.
Patients who have a confirmed diagnosis of lung cancer and are scheduled for elective open-lung surgery.
Disqualifiers
Allergy to local anesthetics.
Known psychiatric or neurologic disorders.
Alcohol or narcotics abuse.
Contraindications to thoracic epidural or suprascapular block, or interscalene block, e.g., coagulopathy or local infection.
Trial design
Parallel
Treatments tested in this trial
Interscalene block
Other interventionPatients will receive an ultrasound-guided interscalene block.
Anterior suprascapular block
Other interventionPatients will receive an ultrasound-guided anterior suprascapular block.
Epidural analgesia
Other interventionPatients will not receive regional blocks apart from epidural analgesia.
Treatment groups
Trial outcomes
Primary outcomes
Frequency of occurrence of ipsilateral shoulder pain
Frequency of occurrence of ipsilateral shoulder pain will be recorded.
Secondary outcomes
Degree of pain
Each patient will be instructed about postoperative pain assessment with the visual analog scale (VAS). VAS (0 represents "no pain" while 10 represents "the worst pain imaginable"). VAS will be recorded after intensive care unit (ICU) admission then every 6 h postoperative for 72 h.
Mean arterial pressure
Mean arterial pressure will be recorded every 30 minutes and immediately postoperative then every 4 h postoperative for 48 h.
Heart rate
Heart rate will be recorded every 30 minutes and immediately postoperative then every 4 h postoperative for 48 h.
Incidence of complications
Incidence of postoperative complications will be recorded.
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