Impact of Interscalene Block Combined With General Anesthesia on Burst Suppression in Shoulder Surgery Patients
NCT07081672 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2025-07-30
Summary
This prospective, randomized, double-blind clinical study aimed to investigate the effects of combining general anesthesia with an interscalene brachial plexus block (ISB) on burst suppression ratio (BSR) and electroencephalographic (EEG) activity in patients undergoing elective shoulder surgery. A total of 50 patients were allocated into two groups: those receiving general anesthesia with ISB (Group B) and those receiving general anesthesia alone (Group K). Intraoperative EEG recordings were obtained from frontal electrodes (Fp1, Fp2, F7, F8) using a SedLine® monitor. Power spectral analysis was conducted for delta, theta, alpha, and beta frequency bands, alongside assessment of Patient State Index (PSI) and BSR.
Conditions
- Burst Suppression
- Electroencephalogram
- Interscalene Brachial Plexus Block
Interventions
- PROCEDURE
-
Ultrasound-guided interscalene brachial plexus block (ISB)
The intervention consisted of an ultrasound-guided interscalene brachial plexus block (ISB) administered to patients in Group B prior to general anesthesia. The block was performed using a posterior in-plane approach with real-time ultrasound visualization. A total of 20 mL of 0.125% bupivacaine was injected around the C5-C6 nerve roots under sterile conditions by experienced anesthesiologists.
- PROCEDURE
-
General Anesthesia (control group)
General anesthesia without regional block
Sponsors & Collaborators
-
Bezmialem Vakif University
lead OTHER
Principal Investigators
-
Kazım Karaaslan, MD · Bezmialem Vakif University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SCREENING
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-01-29
- Primary Completion
- 2025-07-15
- Completion
- 2025-07-20
Countries
- Turkey (Türkiye)
Study Locations
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