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IRCT20220425054655N1 IRCT 2022-06-01 Tehran University of Medical Sciences Pain in patients undergoing shoulder surgery using interscalene in comparison with anterior suprascapular nerve block technique Pain in patients undergoing shoulder surgery using interscalene in comparison with anterior suprascapular nerve block technique 2022-05-22 anticipated 60 Complete https://irct.ir/trial/63194 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive. 2-3 Patients undergoing shoulder surgery. Intervention 1: Intervention group: ISB local anesthesia. Intravenous access is provided and sedation is performed with midazolam (up to 2 mg) and 50 μg fentanyl if necessary. Standard monitors will be used throughout the block and supplemental oxygen will be provided. Intrascal block (ISB) and anterior suprascapular block (SSNB) will be performed under ultrasound guidance. In each group of 15 ml (75 mg) of 0.5% rupivacaine will be used to block. The anterior ISB and SSNB will be performed while the patient is in a supine position. To perform an ISB, an ultrasound scan will be performed to identify the C5, C6, and C7 nerve roots between the scapular muscles. Local anesthesia will be performed in the area between the C5 and C6 nerve roots, in the gap between the scales. Local anesthesia will be performed in the area between the C5 and C6 nerve roots, in the gap between the scales. The success rate of the block in the first 30 minutes after the block will be measured by assessing the degree of sensory and motor block. General anesthesia will be performed with intravenous fentanyl up to 3 micrograms per kilogram of patient weight, propofol 2 milligrams per kilogram of body weight and atracurium 0.5 mg per kilogram of patient weight. Endotracheal tubes are also implanted for patients. Fentanyl will be used in the recovery room if necessary and its amount will be recorded. Pain will be measured by the VAS scale 16 and 24 hours after recovery recovery. The first request for analgesia, the need for analgesia in the first 24 hours after the block, patient satisfaction, and side effects will also be considered. The total number of additional analgesic prescriptions for 48 hours after surgery will also be calculated. Intervention 2: Intervention group: SSNB local anesthesia. Intravenous access is provided and sedation is performed with midazolam (up to 2 mg) and 50 μg fentanyl if necessary. Standard monitors will be used throughout the block and supplemental oxygen will be provided. Intrascal block (ISB) and anterior suprascapular block (SSNB) will be performed under ultrasound guidance. In each group of 15 ml (75 mg) of 0.5% rupivacaine will be used to block. The anterior ISB and SSNB will be performed while the patient is in a supine position. For the anterior SSNB, the nerve will follow until it separates from the brachial plexus and enters the supraclavicular cavity below the ohmoid muscle. Local anesthesia will then be applied outside the suprascapular nerve and just below the omoid muscle. The success rate of the block in the first 30 minutes after the block will be measured by assessing the degree of sensory and motor block. General anesthesia will be performed with intravenous fentanyl up to 3 micrograms per kilogram of patient weight, propofol 2 milligrams per kilogram of body weight and atracurium 0.5 mg per kilogram of patient weight. Endotracheal tubes are also implanted for patients. Fentanyl will be used in the recovery room if necessary and its amount will be recorded. Pain will be measured by the VAS scale 16 and 24 hours after recovery recovery. The first request for analgesia, the need for analgesia in the first 24 hours after the block, patient satisfaction, and side effects will also be considered. The total number of additional analgesic prescriptions for 48 hours after surgery will also be calculated. Yes - There is a plan to make this available What will be shared: All data is potentially shareable after unidentifiable individuals When: Access period starts 6 months after the results are published To whom: Researchers working in academic and scientific institutions Conditions: The use of data and documents is permitted in accordance with what will be extracted from the article. Where to obtain: Reza AtefYekta How to obtain: Six months after the publication of the article, the application will be reviewed by the project manager and submitted as soon as possible. Comments:
public Reza Atefyekta
Tehran, North Kargar St., Jalal Al-Ahmad Intersection, Opposite the Faculty of Economics, Dr. Shariati Research and Training Center
tehran Iran (Islamic Republic of) 1411713135 +98 21 0008 4901 khorsandi.rihanna@gmail.com Tehran University of Medical Sciences scientific Reza AtefYekta
North Kargar St., Jalal Al-Ahmad Three Ways, Opposite the Faculty of Economics, Dr. Shariati Research and Treatment Center
Tehran Iran (Islamic Republic of) 1411713135 +98 21 0008 4901 khorsandi.rihanna@gmail.com Tehran University of Medical Sciences Iran (Islamic Republic of) Patients undergoing atherosclerotic shoulder surgery, People 21 years and older, body mass index 18-35 kg / m2 Complete satisfaction from participating in the study 21 years no limit Both Patients who are unable to express satisfaction People who have been chronically treated for opioids People who are allergic to the drugs under study People with neurological defects Patients with advanced lung disease (COPD and uncontrolled asthma) Surgeries over 3 hours People who have any contraindications to local anesthesia such as coagulopathy and local infection N/A N/A Intervention group: ISB local anesthesia. Intravenous access is provided and sedation is performed with midazolam (up to 2 mg) and 50 μg fentanyl if necessary. Standard monitors will be used throughout the block and supplemental oxygen will be provided. Intrascal block (ISB) and anterior suprascapular block (SSNB) will be performed under ultrasound guidance. In each group of 15 ml (75 mg) of 0.5% rupivacaine will be used to block. The anterior ISB and SSNB will be performed while the patient is in a supine position. To perform an ISB, an ultrasound scan will be performed to identify the C5, C6, and C7 nerve roots between the scapular muscles. Local anesthesia will be performed in the area between the C5 and C6 nerve roots, in the gap between the scales. Local anesthesia will be performed in the area between the C5 and C6 nerve roots, in the gap between the scales. The success rate of the block in the first 30 minutes after the block will be measured by assessing the degree of sensory and motor block. General anesthesia will be performed with intravenous fentanyl up to 3 micrograms per kilogram of patient weight, propofol 2 milligrams per kilogram of body weight and atracurium 0.5 mg per kilogram of patient weight. Endotracheal tubes are also implanted for patients. Fentanyl will be used in the recovery room if necessary and its amount will be recorded. Pain will be measured by the VAS scale 16 and 24 hours after recovery recovery. The first request for analgesia, the need for analgesia in the first 24 hours after the block, patient satisfaction, and side effects will also be considered. The total number of additional analgesic prescriptions for 48 hours after surgery will also be calculated. Intervention group: SSNB local anesthesia. Intravenous access is provided and sedation is performed with midazolam (up to 2 mg) and 50 μg fentanyl if necessary. Standard monitors will be used throughout the block and supplemental oxygen will be provided. Intrascal block (ISB) and anterior suprascapular block (SSNB) will be performed under ultrasound guidance. In each group of 15 ml (75 mg) of 0.5% rupivacaine will be used to block. The anterior ISB and SSNB will be performed while the patient is in a supine position. For the anterior SSNB, the nerve will follow until it separates from the brachial plexus and enters the supraclavicular cavity below the ohmoid muscle. Local anesthesia will then be applied outside the suprascapular nerve and just below the omoid muscle. The success rate of the block in the first 30 minutes after the block will be measured by assessing the degree of sensory and motor block. General anesthesia will be performed with intravenous fentanyl up to 3 micrograms per kilogram of patient weight, propofol 2 milligrams per kilogram of body weight and atracurium 0.5 mg per kilogram of patient weight. Endotracheal tubes are also implanted for patients. Fentanyl will be used in the recovery room if necessary and its amount will be recorded. Pain will be measured by the VAS scale 16 and 24 hours after recovery recovery. The first request for analgesia, the need for analgesia in the first 24 hours after the block, patient satisfaction, and side effects will also be considered. The total number of additional analgesic prescriptions for 48 hours after surgery will also be calculated. Pain scoring. Timepoint: 16 and 24 hours after surgery. Method of measurement: Visual Analogue Scale. Vice-Chancellor in Research Affairs of Tehran University of Medical Sciences Approved 2022-03-16 Ethics committee of Tehran University of Medical Sciences Tehran, the intersection of Keshavarz Boulevard and Ghods St., the headquarters of Tehran University of Medical Sciences, sixth floor, Room 605, Research and Technology Affairs Department tehran Tehran Iran (Islamic Republic of)