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Sub Omohyoid Suprascapular Nerve Block Versus Interscalene Nerve Block

Not Applicable
Recruiting
Conditions
Nerve Block
Post Operative Pain
Regional Anesthesia
Interventions
Procedure: subomohyoid plane block
Procedure: Interscalene brachial plexus block
Registration Number
NCT05796778
Lead Sponsor
Minia University
Brief Summary

Shoulder surgery can be very painful surgery after which the use of opioids is often required. The well-known side-effects of opioids (e.g. respiratory depression, somnolence, nausea, vomiting, and pruritus) limit their use in so called 'fast track' surgery and anaesthesia programmes.

the study aimed to compare the effect of sub omohyoid suprascapular nerve block versus interscalene nerve block in preventing postoperative pain and decreasing analgesic consumption in patients scheduled for shoulder surgery

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
72
Inclusion Criteria
  1. Aged 18-60 years.
  2. ASA I-II.
  3. Both sexes.
  4. Shoulder surgery.
Exclusion Criteria
  1. Patient refusal
  2. Allergy to local anesthetics
  3. BMI >40 kg/m2
  4. Bleeding diathesis or history of anticoagulant use.
  5. Psychiatric diseases.
  6. Infection of the skin at the site of needle punctures area.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
subomohyoid suprascapular nervesubomohyoid plane blocksuperficial probe of ultrasound was placed in the transverse plane to visualize the superior trunk in the short axis. The suprascapular nerve was identified as it branched off from the superior trunk and traced until it coursed beneath the inferior belly of the omohyoid muscle.
Interscalene brachial plexusInterscalene brachial plexus blockultrasound-guided interscalene block involves imaging the C5 and C6 roots at approximately the level of the cricoid cartilage, just distal to where they emerge from behind their respective transverse processes and where they lie in the groove between the anterior and middle scalene muscles
Primary Outcome Measures
NameTimeMethod
Visual analogue pain score24 hour

pain score from 0 to 10 which mean 0 no pain and 10 the worst pain ever

Secondary Outcome Measures
NameTimeMethod
Time of first analgesic request24 hour

the time of first demand rescue analgesia

Total analgesic consumption24 hour

total fentanyl demand

Incidence of any side effects24 hour

oxygen desaturation, pneumothorax, dyspnea, and phrenic nerve palsy, block, and opioid-related side effects

Trial Locations

Locations (1)

Minia University Hospital

🇪🇬

Minya, Egypt

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