| Unique ID issued by UMIN | UMIN000061112 |
|---|---|
| Receipt number | R000069931 |
| Scientific Title | Comparison of postoperative analgesia between interscalene and supraclavicular brachial plexus block for proximal humerus fracture surgery |
| Date of disclosure of the study information | 2026/04/06 |
| Last modified on | 2026/03/31 13:37:45 |
Comparison of postoperative analgesia between interscalene and supraclavicular brachial plexus block for proximal humerus fracture surgery
Comparison of postoperative analgesia between interscalene and supraclavicular brachial plexus block for proximal humerus fracture surgery
Comparison of postoperative analgesia between interscalene and supraclavicular brachial plexus block for proximal humerus fracture surgery
Comparison of postoperative analgesia between interscalene and supraclavicular brachial plexus block for proximal humerus fracture surgery
| Japan |
proximal humerus fracture
| Anesthesiology | Operative medicine |
Others
NO
A comparative study of the postoperative analgesic effects of the interscalene nerve block (ISB) and the supraclavicular brachial plexus block (SCB) in patients with proximal humeral fractures
Safety,Efficacy
Changes over time in resting NRS score
NRS score at 0, 1, 3, 6, 12, 24 hours postoperatively, frequency of use of rescue analgesics, postoperative nausea and vomiting, SpO2, postoperative ultrasound to check for pneumothorax, adverse events
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
Active
2
Treatment
| Maneuver |
The procedure is performed under total intravenous anesthesia with remimazolam and remifentanil, with the dosage adjusted to maintain a BIS score within the range of 40-60. Fentanyl 250 ug is administered concurrently as an intraoperative analgesic. The nerve block is performed prior to induction of anesthesia. In the ISB group, 20 mL (50 mg) of 0.25% levobupivacaine is administered for the ultrasound-guided ISB. At the end of the surgery, 15 mg/kg of acetaminophen is administered, with additional doses given at 6, 12, 18, and 24 hours postoperatively. If pain persists despite this, rescue analgesics are administered.
The procedure is performed under total intravenous anesthesia with remimazolam and remifentanil, with the dosage adjusted to maintain a BIS score within the range of 40-60. Fentanyl 250 ug is administered concurrently as an intraoperative analgesic. The nerve block is performed prior to induction of anesthesia. In the SCB group, 20 mL (50 mg) of 0.25% levobupivacaine is administered for the ultrasound-guided SCB. At the end of the surgery, 15 mg/kg of acetaminophen is administered, with additional doses given at 6, 12, 18, and 24 hours postoperatively. If pain persists despite this, rescue analgesics are administered.
| 20 | years-old | <= |
| Not applicable |
Male and Female
Adult patients with an ASA-PS 1 or 2 undergoing surgery for a proximal humerus fracture
Patients with cardiac dysfunction, liver dysfunction, Kidney dysfunction, respiratory dysfunction, allergy to the medication used, local infection at the puncture site and difficulty communicating
30
| 1st name | Yoshiaki |
| Middle name | |
| Last name | Terao |
Nagasaki Rousai Hospital
Department of Anesthesiology
857-0134
2-12-5 Setogoe, Sasebo, Nagasaki, Japan
0956-49-2191
yoterao@nagasakih.johas.go.jp
| 1st name | Yoshiaki |
| Middle name | |
| Last name | Terao |
Nagasaki Rousai Hospital
Department of Anesthesiology
857-0134
2-12-5 Setogoe, Sasebo, Nagasaki
0956-49-2191
yoterao@nagasakih.johas.go.jp
Department of Anesthesiology, Nagasaki Rosai Hospital
Research funds to promote the hospital functions of Japan Organization of Occupational Health and Safety
Japanese Governmental office
Nagasaki Rosai Hospital
2-12-5 Setogoe, Sasebo, Nagasaki, Japan
0956-49-2191
shom@nagasakih.johas.go.jp
NO
| 2026 | Year | 04 | Month | 06 | Day |
Unpublished
Preinitiation
| 2026 | Year | 03 | Month | 22 | Day |
| 2026 | Year | 03 | Month | 23 | Day |
| 2026 | Year | 04 | Month | 06 | Day |
| 2027 | Year | 03 | Month | 31 | Day |
| 2026 | Year | 03 | Month | 31 | Day |
| 2026 | Year | 03 | Month | 31 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069931