Investigating anesthesia techniques to reduce rebound pain after shoulder surgery
Effect of Intraplexus and Extraplexus Interscalene Block Approaches on the Incidence of Rebound Pain in Arthroscopic Shoulder Surgery: A Prospective, Randomized, Double-Blind Clinical Study
NA · Ankara City Hospital Bilkent · NCT06883279
This study is testing if a special way of giving local anesthesia can help reduce rebound pain for people aged 18-65 after shoulder surgery.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 94 (estimated) |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Sponsor | Ankara City Hospital Bilkent (other) |
| Locations | 1 site (Ankara, Ankara, Çankaya) |
| Trial ID | NCT06883279 on ClinicalTrials.gov |
What this trial studies
This study examines whether a specific method of administering local anesthesia, known as the extraplexus approach, can decrease the occurrence of rebound pain in patients undergoing arthroscopic shoulder surgery. It will involve patients aged 18-65 with ASA physical status I or II, and will assess various parameters including the incidence of rebound pain, sensory and motor block onset times, and postoperative recovery metrics. The primary outcome will focus on the severity of rebound pain measured by the Numerical Rating Scale, while secondary outcomes will evaluate other complications and recovery indicators.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18-65 with ASA physical status I or II scheduled for arthroscopic shoulder surgery.
Not a fit: Patients with obesity, diabetes, psychiatric disorders, or other specified medical conditions may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly reduce severe rebound pain for patients undergoing shoulder surgery, improving their overall recovery experience.
How similar studies have performed: While similar approaches have been explored, this specific method of extraplexus interscalene block is relatively novel and has not been extensively tested.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients aged 18-65 years. * Patients with ASA physical status I or II. * Patients planned for arthroscopic shoulder surgery in the lateral decubitus position with interscalene nerve block. Exclusion Criteria: * Patients who do not consent to participate in the study. * Block failure. * Language acquisition deficiency. * Obesity (body mass index \> 35 kg/m²). * Diabetes. * Psychiatric disorders. * Central nervous system diseases. * Vestibular diseases. * Presence of neuropathy and paralysis. * Pregnancy. * Previous open shoulder surgery. * Allergy to local anesthetics. * Coagulopathy. * Severe thrombocytopenia. * Infection at the puncture site. * Pre-existing neuropathy in the limb to be operated. * Use of dexamethasone. * Use of opioid and antiemetic medications before surgery. * Severe cardiopulmonary disease. * Low baseline oxygen saturation. * Conditions that prevent cooperation in the postoperative period (e.g., mental retardation, delirium).
Where this trial is running
Ankara, Ankara, Çankaya
- Ankara Bilkent City Hospital — Ankara, Ankara, Çankaya, Turkey (RECRUITING)
Study contacts
- Study coordinator: Ankara BC Hospital
- Email: ankarasehir@saglik.gov.tr
- Phone: 03125526000
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Anesthesia, Pain, Shoulder, Pain, Postoperative, Interscalene block, Rebound pain