Erector Spinae Plane Versus Interscalene Blocks for Shoulder Surgery
| Status: | Not yet recruiting |
|---|---|
| Conditions: | Hospital, Neurology |
| Therapuetic Areas: | Neurology, Other |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 1/23/2019 |
| Start Date: | January 20, 2019 |
| End Date: | August 1, 2019 |
| Contact: | Lisa Sun, MD |
| Email: | lisaysun@stanford.edu |
| Phone: | 6507216876 |
The goal of this study is the evaluation of erector spinae plane (ESP) blocks as an
alternative to interscalene brachial plexus nerve blocks for rotator cuff repair and total
shoulder arthroplasty procedures. Currently, single shot interscalene nerve blocks are
performed for rotator cuff repair surgeries, and interscalene nerve catheters are placed for
total shoulder arthroplasty surgeries. Erector spinae plane blocks are commonly used as part
of the anesthetic plan for other surgeries, but less so for shoulder surgeries. The
investigators would like to study whether an ESP block can provide similar pain control
compared to an interscalene nerve block, with less risk of upper extremity motor block and
phrenic nerve block.
alternative to interscalene brachial plexus nerve blocks for rotator cuff repair and total
shoulder arthroplasty procedures. Currently, single shot interscalene nerve blocks are
performed for rotator cuff repair surgeries, and interscalene nerve catheters are placed for
total shoulder arthroplasty surgeries. Erector spinae plane blocks are commonly used as part
of the anesthetic plan for other surgeries, but less so for shoulder surgeries. The
investigators would like to study whether an ESP block can provide similar pain control
compared to an interscalene nerve block, with less risk of upper extremity motor block and
phrenic nerve block.
Inclusion Criteria:
- All adult patients (18 years and over) scheduled for rotator cuff surgery or total
shoulder arthroplasty surgery requiring a nerve block as part of their anesthetic care
Exclusion Criteria:
- concomitant life-threatening injuries and other concomitant injuries causing
significant pain.
- pregnancy,
- any condition impairing patient's ability to consent to participation in study
- an existing condition contraindicating a nerve block, i.e. nerve injury, existing
bleeding disorder
- infection in the vicinity of the block, and patient refusal.
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