Evidence map›Paper›PMID 40108353›Full record

Trial reportScientific reports2025

Coracoid approach brachial plexus block combined with posterior suprascapular nerve block provides analgesia for shoulder arthroscopy: a randomized controlled trial.

Wensheng He, Zhenyu Wu, Shan Su, Zengping Huang

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Wensheng HeDepartment of Anesthesiology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, 518000, China.
Zhenyu WuDepartment of Anesthesiology, The First Hospital of Qinhuangdao, Qinhuangdao, 066000, China.
Shan SuDepartments of Laboratory Medicine, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, 518000, China.
Zengping HuangDepartment of Anesthesiology, Shenzhen Traditional Chinese Medicine Hospital, Shenzhen, 518000, China. szzphuang@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Shoulder arthroscopy has become a common procedure, but it is often associated with severe postoperative pain. This study aims to evaluate the analgesic effect of ultrasound-guided coracoid approach brachial plexus block combined with posterior suprascapular nerve block in shoulder arthroscopy. To this end, fifty patients undergoing right shoulder arthroscopy were randomly divided into two groups with 25 patients in each group. Before induction of general anesthesia, patients in the two groups received different nerve blocks. In Group A, participants received ultrasound-guided supraclavicular brachial plexus block with 25 mL 0.3% ropivacaine. In Group B, coracoid approach brachial plexus block and posterior suprascapular nerve block were carried out under ultrasound guidance. M-mode ultrasound was used to measure diaphragm movement before and 30 min after the block, and the presence of hemidiaphragm paralysis was recorded during calm breathing and deep breathing. Pain scores were recorded at 1, 6, 12, 24 and 48 h after surgery. The actual press times of the PCA pump and consumption of sufentanil were also recorded.A total of 45 patients completed this study. The incidence of hemidiaphragm paralysis in Group B was significantly lower than that in Group A under both calm breathing and deep breathing. The two groups displayed similar pain scores at 1, 6, 12, 24 and 48 h after surgery. Compared with supraclavicular brachial plexus block, coracoid approach brachial plexus block combined with posterior suprascapular nerve block can significantly reduce the occurrence of hemidiaphragm paralysis with an equivalent postoperative analgesic effect for shoulder arthroscopy. Therefore, the latter may be beneficial for early postoperative recovery in patients who cannot tolerate hemidiaphragm paralysis. Trial registration: This study was registered in the Chinese Clinical Trial Register (ID ChiCTR2100043069) on 04/02/2021.

Indexed as

AnalgesiaArthroscopyBrachial Plexus BlockNerve BlockPostoperative PainShoulderAdultFemaleHumansMaleMiddle AgedPain MeasurementRopivacaineScapulaShoulder JointUltrasonography, InterventionalRopivacaineBrachial plexus blockHemidiaphragm paralysisPostoperative analgesiaShoulder arthroscopySuprascapular nerve block

Identifiers

PMID40108353
PMCPMC11923271

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.