A Comparative Study Between Ultrasound Guided Interscalene Block and Combined Ultrasound Guided Suprascapular and Axillary Nerve Blocks for Proximal Humerus Fracture Surgeries.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Proximal Humerus Fractures
- Sponsor
- Ain Shams University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- The presence of moderate-to-severe pain, defined as visual analog pain scores (VAS) 4 or greater during the first 24 h postoperative.
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
A Comparative study Between Ultrasound guided Interscalene Block and Combined Ultrasound guided suprascapular and axillary nerve blocks for proximal humerus fracture Surgeries.
The aim of this study is to investigate whether (Suprascapular nerve block) and (Axillary nerve block) are effective in providing analgesia for shoulder surgery as an (Interscalene block), while minimizing the occurrence of hemi-diaphragmatic paralysis. We hypothesized that analgesia with a (Suprascapular nerve block and Axillary nerve block) would be noninferior compared with patients receiving an interscalene block and the incidence of hemi-diaphragmatic paralysis would be significantly lower with (Suprascapular nerve block and Axillary nerve block) in proximal humerus fracture surgeries.
Detailed Description
A Comparative study Between Ultrasound guided Interscalene Block and Combined Ultrasound guided suprascapular and axillary nerve blocks for proximal humerus fracture Surgeries. The aim of this study is to investigate whether (Suprascapular nerve block) and (Axillary nerve block) are effective in providing analgesia for shoulder surgery as an (Interscalene block), while minimizing the occurrence of hemi-diaphragmatic paralysis. We hypothesized that analgesia with a (Suprascapular nerve block and Axillary nerve block) would be noninferior compared with patients receiving an interscalene block and the incidence of hemi-diaphragmatic paralysis would be significantly lower with (Suprascapular nerve block and Axillary nerve block) in proximal humerus fracture surgeries.
Investigators
riham fathy galal
Lecturer
Ain Shams University
Eligibility Criteria
Inclusion Criteria
- •Patients American Society of anesthesiologists' physical status (ASA) I to II.
- •Aged 18 to 65 years.
- •Both sexes.
- •Patients scheduled for proximal humerus fracture surgeries.
Exclusion Criteria
- •Patient refusal
- •ASA physical status III or more.
- •Patients with known allergy to any of the study drugs.
- •Infection at the site of injection.
- •Patients with history of cardiovascular disease.
- •Patients with renal disease.
- •Patients with hepatic disease.
- •Patients with neuromuscular disease.
- •Presence of any coagulopathy.
- •Chronic opioid, gabapentin or pregabalin use.
Outcomes
Primary Outcomes
The presence of moderate-to-severe pain, defined as visual analog pain scores (VAS) 4 or greater during the first 24 h postoperative.
Time Frame: 24 HOURS
The presence of moderate-to-severe pain, defined as visual analog pain scores (VAS) 4 or greater during the first 24 h postoperative.
Analgesic consumption during surgery, in post-anesthesia care unit, and during the first 24 h post-surgery.
Time Frame: 24 hours
Analgesic consumption during surgery, in post-anesthesia care unit, and during the first 24 h post-surgery.
Individual visual analog pain scores (VAS) at 0, 6, 12 and 24 h postoperatively (VAS; 0 = no pain and 10 = worst pain imaginable).
Time Frame: 24 HOURS
Individual visual analog pain scores (VAS) at 0, 6, 12 and 24 h postoperatively (VAS; 0 = no pain and 10 = worst pain imaginable).
Time to first reported pain and first analgesic request during post-anesthesia care unit stay (in minutes).
Time Frame: 24 HOURS
Time to first reported pain and first analgesic request during post-anesthesia care unit stay (in minutes).