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The Effects of Regional Anaesthesia Techniques on Hemidiaphragm Paralysis, Postoperative Recovery Quality, Opioid Consumption, and Pain Scores

ConditionsRegional AnaesthesiaArthroscopic Shoulder SurgeryHemidiaphragmatic ParalysisRecovery QualityOpioid ConsumptionPostoperative Pain Score
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-65
SponsorAntalya Training and Research Hospital

About this trial

This study aims to evaluate the effects of ultrasound-guided interscalene, erector spinae plane, costoclavicular, and supraclavicular blocks on hemidiaphragmatic paralysis, postoperative recovery quality, opioid consumption, and pain scores.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

aged 18-65 years

American Society of Anaesthesiology (ASA) score I-III

body mass index (BMI) <30kg/m2

scheduled for elective arthroscopic surgery

Disqualifiers

ASA score ≥4

BMI ≥30 kg/m2

declining to give written informed consent

controendications for block application

Trial population

It is planned to include ASA score I-III, aged 18-65 years, who are planned to undergo elective arthroscopic surgery

Trial design

Design model

Case-control

Time perspective

Prospective

Treatments tested in this trial

  • İnterscalene block group

    Other intervention

    Before the surgery, ultrasoud-guided interscalene block will be performed before the surgery under standart anaesthesia monitoring

  • Erector spinae plane block group

    Other intervention

    Before the surgery, ultrasoud-guided erector spinae plane block will be performed before the surgery under standart anaesthesia monitoring

  • Costoclavicular block group

    Other intervention

    Before the surgery, ultrasoud-guided costoclavicular block will be performed before the surgery under standart anaesthesia monitoring

  • Supraclavivular block group

    Other intervention

    Before the surgery, ultrasoud-guided supraclavivular block will be performed before the surgery under standart anaesthesia monitoring

Treatment groups

88 Participants
are divided into 4 treatment groups
Group A: İnterscalene group1 intervention
Group B: Erector spinae plane block group1 intervention
Group C: Costoclavicular block group1 intervention
Group D: Supraclavicular block group1 intervention

Trial outcomes

Primary outcomes

1

Hemidiaphragmatic paralysis

Diaghragmatic excursion will be assessed using a real-time M-mode ultrasound during quite breathing, deep breathing, and sniffing maneuvers (deep breathing through the nose)

Time frame
30 minutes

Secondary outcomes

1

Recovery quality

The postoperative recovery of patients will be assessed using the 15-item Quality of Recovery (QOR-15) score. The QOR-15 is an 15-item assessment scale that evaluates patients' pain, physical comfort, physical independence, psychological support and emotional state in early postoperative period.

Time frame
5 minutes
2

Postoperative analgesic consumption

All patients will receive a standard patient analgesia (PCA) protocol. The postoperative opioid consumption will only be recorded

Time frame
24 hours
3

Postoperative pain intensity

The postoperative pain intensity will be assessed with the Numerical Rating Scale (NRS) score (0=no pain; 10=most severe pain)

Time frame
24 hours

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Antalya Training and Research Hospital

Lead sponsor

Source ClinicalTrials.gov
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