Cervical erector spinae plane block: Patients will receive cervical erector spinae plane block (ESPB) after the induction of general anesthesia.
General anesthesia: Patients will receive general anesthesia alone with no block.
Study summary
This study aims to evaluate the efficacy of cervical erector spinae plane block (ESPB) in managing postoperative pain following proximal humerus fracture repair in patients receiving general anesthesia.
Eligibility
Sex
ALL
Min age
18 Years
Max age
70 Years
Healthy volunteers
No
Inclusion Criteria:
* Age: 18-70 years old.
* Adults scheduled for unilateral proximal humerus open reduction and internal fixation (ORIF).
* American Society of Anesthesiologists (ASA) physical status I-II patients.
Exclusion Criteria:
* Patient refusal.
* Coagulopathy \[International Normalized Ratio (INR) \>1.4, platelets \<100,000/mm³\].
* Local infection at the block site.
* Allergy to local anesthetics or opioids.
* History of drug addiction or chronic opioid use.
* Significant neurological or psychiatric disorders.
* Hemodynamically unstable patients.
Primary outcome measure(s)
Degree of pain — 24 hours postoperatively Each patient will be instructed about postoperative pain assessment with the visual analog scale (VAS). VAS (0 represents "no pain" while 10 represents "the worst pain imaginable"). VAS will be assessed at 4, 8, 12, 18, and 24 h after surgery.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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