Ultrasound Guided Pericapsular Nerve Block Versus Iv Sedation Analgesia in Reduction of Shoulder Dislocation

Phase 2

Completed

• Conditions: Perioperative Pain
• Interventions: Drug: Propofol injection and fentanyl; Drug: Bupivacain

• Registration Number: NCT06034873
• Lead Sponsor: Benha University

Brief Summary

When someone experiences a shoulder dislocation, it can be extremely painful. Emergency physicians often choose to use conscious sedation to help reduce the pain. However, some patients may not be able to tolerate conscious sedation due to concerns about their ability to breathe properly or the risk of inhaling fluids. A recently developed technique called Ultrasound-guided Pericapsular Nerve Group (PENG) block is used to block the articular branches of the shoulder and the pericapsular spread around the glenohumeral joint. The PENG block is commonly used in hip surgery and is effective in providing motor-sparing analgesic results.

Detailed Description

When someone experiences a shoulder dislocation, it can be extremely painful. Emergency physicians often choose to use conscious sedation to help reduce the pain. However, some patients may not be able to tolerate conscious sedation due to concerns about their ability to breathe properly or the risk of inhaling fluids. In an ideal scenario, the surgeon could achieve complete pain control and muscle relaxation without compromising the patient's airway. There are various techniques available to facilitate shoulder reduction, including interscalene block, general anesthesia, and intravenous analgesia. All of these methods can help the surgeon ease the patient's pain and reduce the likelihood of complications.1 When choosing the anesthesia method for reducing ASD, the top priority is ensuring the patient's comfort through pain management. The anesthesia helps to relax the muscle spasms, making it easier to reduce the ASD. The goal is to relocate the shoulder with minimal risk of complications.

A recently developed technique called Ultrasound-guided Pericapsular Nerve Group (PENG) block is used to block the articular branches of the shoulder and the pericapsular spread around the glenohumeral joint. The PENG block is commonly used in hip surgery and is effective in providing motor-sparing analgesic results.

Study Timeline

• Study First Submitted: 2023-09-06
• Study First Submitted QC: 2023-09-06
• Study First Posted: 2023-09-13
• Study Start: 2023-09-15
• Primary Completion: 2024-09-01
• Status Verified: 2024-10
• Study Completion: 2024-10-01
• Last Update Submitted: 2024-10-24
• Last Update Posted: 2024-10-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 42

Inclusion Criteria

• (ASA )classes I and II
• patients of either sex, above the age of 18
• patients will undergo dislocated shoulder

Exclusion Criteria

• the patient's refusal to participate
• coagulation disorders
• allergy to local anesthetic
• history of daily opioid intake
• patients with cognitive impairments

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group A	Propofol injection and fentanyl	In the IVAS group, the patients intravenous propofol combined with fentanyl. The sequence will be to inject fentanyl 1 μg•kg-1•min-1 first within 1 min and then inject propofol 2 mg•kg-1•min-1.
Group B	Bupivacain	Patients will be anesthetized with ultrasound-guided pericapsular nerve group block (PENG block) using 20 ml of 0.25% bupivacaine.

Primary Outcome Measures

Name	Time	Method
length of hospital stay	1st 24 hours	the period when the patient stayed in the hospital

Secondary Outcome Measures

Name	Time	Method
the visual analogue scale(VAS)	30 minutes ,2,4,8,12 hours postoperative	ranges from 0 to 10, with 0 representing no pain and 10 being the most intense pain possible.
reduction time	1st hour after intervetion	the period from the beginning to the end of reduction

Trial Locations

Locations (1)

Banha faculity of medicine; 🇪🇬 Banhā, Elqalyoubea, Egypt