Interscalene Block vs SPSIP Block for Shoulder Arthroscopy analgesia
Official title: Comparison of Interscalene Brachial Plexus Block and Serratus Posterior Superior Intercostal Plane Block for Postoperative Analgesia After Arthroscopic Shoulder Surgery: A Prospective, Randomized, Double-Blind Controlled Trial
Run by Bursa Yuksek Ihtisas Training and Research Hospital · NCT07668648 · Data updated 2026-11-12
This study tests whether the SPSIP block can provide comparable pain relief to the standard interscalene block after arthroscopic shoulder surgery.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 75 Years |
| Sex | All |
| Enrollment | 80 (estimated) |
| Sponsor | Bursa Yuksek Ihtisas Training and Research Hospital Government |
| Locations | 1 site (Bursa, Nilüfer) |
| Status | Recruiting |
| Started | June 25, 2026 |
| Main results expected | December 15, 2026 |
| Study ends | December 15, 2026 |
| Registry record updated | June 29, 2026 |
| Trial ID | NCT07668648 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–75 undergoing elective arthroscopic shoulder surgery under general anesthesia, with no contraindications to regional anesthesia.
✕Probably not a fit
Patients with block failure, contraindications to either block, or nonresponders to regional analgesia may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized, double-blind trial compares two ultrasound-guided nerve blocks—Interscalene Brachial Plexus Block (ISB) and Serratus Posterior Superior Intercostal Plane (SPSIP) block—for adults undergoing elective shoulder arthroscopy under general anesthesia. The primary endpoint is total opioid use in the first 24 hours after surgery; secondary endpoints include pain scores, recovery quality, and analgesic timing and use. All participants receive standardized anesthesia and multimodal postoperative pain relief. Eligible adults 18–75 without major exclusions will be randomized to receive one of the blocks with appropriate blinding and outcome assessment.
Why it matters
Potential benefit: If SPSIP proves as effective as ISB with fewer side effects, patients may experience similar pain control with lower risk of complications.
How similar studies have gone: Previous ultrasound-guided fascial plane blocks show promise, but direct comparisons to ISB in shoulder surgery are limited and findings are not yet definitive.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age between 18 and 75 years * ASA physical status I, II, or III * Scheduled for elective arthroscopic shoulder surgery under general anesthesia * Provision of written informed consent Exclusion Criteria: * Refusal to participate in the study * Coagulopathy * Current anticoagulant therapy * Infection at the block site * Previous surgery involving the planned block site * Known allergy or history of toxicity to local anesthetics * Hepatic failure * Renal failure * Uncontrolled diabetes mellitus * Cognitive impairment or mental disability preventing reliable assessment * Chronic opioid use or ongoing chronic pain treatment * Pregnancy, suspected pregnancy, or breastfeeding * Chronic pulmonary disease (e.g., COPD or asthma) * Failed block
Where it's running
-
Bursa City Hospital
Bursa, Nilüfer, Turkey (Türkiye) Recruiting
Study contacts
- Principal investigator: Mürsel Ekinci — University of Health Sciences, Bursa Faculty of Medicine, Bursa City Hospital
- Study coordinator: Mürsel Ekinci, MD
- Email: drmurselekinci@gmail.com
- Phone: +905067137596
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.