Post-Operative Analgesic Efficacy Of Ultrasound Guided Pericapsular Nerve Group Block Versus Combined Suprascapular And Axillary (Circumflex) Nerve Block For Patients Undergoing Shoulder Arthroscopy: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 75
- 主要终点
- visual analogue score
研究概览
简要总结
Recently, the Combined suprascapular nerve block and axillary nerve block (SSNB+ANB) was proposed to provide anesthesia and postoperative analgesia for shoulder surgery as a safe alternative to interscalene block. These two peripheral nerves are responsible for the majority of the sensory innervation of the shoulder.
PENG block has been studied extensively in hip surgeries, but its place in shoulder surgeries is not yet clear. It is a new technology reported for block of articular branches of the shoulder and well pericapsular spread around the glenohumeral joint Therefore, achieving pain relief while avoiding motor block allows us not only to provide an early rehabilitation program in the postoperative period, but also to control the chronic nociceptive activation secondary to pain-induced movement
详细描述
Preoperative:
Routine preoperative assessment will be done before operation to all patients including history, clinical examination and laboratory investigations (complete blood picture, kidney function tests, liver function tests, pro-thrombin time, and partial thromboplastin time). Chest X-ray, electrocardiogram [ECG] will be done for patients above 40 years old.
All patients will be informed about the study design and objectives as well as tools and techniques. Informed consent will be signed by every patient prior to inclusion in the study.
All patients will be informed about the analgesic regimen and will be instructed on how to express pain intensity with use of the visual analogue scale (VAS) (10cm unmarked line in which 0=no pain, 10cm=the worst imaginable pain)
Anesthetic techniques:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adults between age of 18 and 60 years old undergoing elective shoulder arthroscopy surgery.
- •American society of anesthesiologists classification (ASA) Ⅰ&Ⅱ
- •Males & Females
排除标准
- •Age: < 18 or > 60 years old.
- •Patients refuse to participate in the study.
- •Patients with known hypersensitivity to local anesthetics.
- •Coagulation disorder
- •Infection at the site of injection
- •Hepatic impairment
- •Renal impairment
- •Severe intraoperative bleeding affecting the hemodynamics status of the patient.
结局指标
主要结局
visual analogue score
时间窗: 48 hours postoperative
A scale from 0-10 was allocated with 0 representing no pain and 10 representing the worst imaginable pain
次要结局
- Total dose of analgesic needed(during 48 hours after operation)
- Time time to first dose of rescue analgesic(during 48 hours after operation)
- Complications(during 48 hours after operation)
研究者
RAMY AHMED
Assistant Professor of Anesthesia
Ain Shams University