The Analgesic Effect of Shoulder Anterior Capsule (SHAC) Block Versus Suprascapular Nerve Block in Arthroscopic Shoulder Surgeries
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- effect on postopeartive pain after shoulder arthrscopy
研究概览
简要总结
The aim of the study is to compare the post-operative analgesic effect of Shoulder anterior capsule (SHAC) block with Suprascapular nerve block for arthroscopic shoulder surgery with a hypothesis that both Shoulder anterior capsule (SHAC) block and Suprascapular nerve block are effective in providing postoperative analgesia for arthroscopic shoulder surgery.
详细描述
The role of shoulder arthroscopy in the diagnosis and treatment of shoulder disorders is evolving .
Advances in modern arthroscopy have contributed significantly to greater flexibility and efficacy in addressing shoulder pathology.Advantages of arthroscopy include less invasive approaches, improved visualization, decreased risk of many postoperative complications ,and faster recovery.
Shoulder surgery is well recognised as having the potential to cause severe postoperative pain.The aim of this review is to assess critically the evidence relating to the effectiveness of regional anaesthesia techniques commonly used for postoperative analgesia following shoulder surgery opioid analgesics are commonly used for analgesia when nerve block are not used. opoids are effective in relieving postoperative pain at rest but may increase postoperative nausea and vomiting (PONV),somnolence,constipation,urinary retention,respiratory depression ,and sleep disturbances.
supplementing general anesthesia (GA) with a regional nerve block might improve the quality of postoperative relief pain .
Throughout intraoperative and postoperative period, nerve blocks have been used more populary than others because of efficacy.For the regional nerve block,local anesthetic should be infiltrated close to the nerve for maximum effect.
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 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •-Age between 18-65 years.
- •Body mass index (BMI)of 18-35Kg /m
- •Patients with American society of anesthesiologist (ASA) physical status | / ||.
- •Patients scheduled for elective Arthroscopic Shoulder Surgery.
- •Both sexes, males and females.
排除标准
- •-Patient refusal.
- •Allergy to local anaesthetics.
- •Infection at the site of injection .
- •Coagulopathy.
- •Chronin pain syndromes.
- •Prolonged opioid medication
- •.-Patients who received any analgesia 24 h before surgery.
- •pregnancy
结局指标
主要结局
effect on postopeartive pain after shoulder arthrscopy
时间窗: baseline
the pain intensity assessment at rest and on coughing using Numerical Rating Scale (NRS) This will measure pain intensity from 0 to 10 , 0: no pain 3:mild pain 7:moderate pain 10:severe pain
次要结局
- -Time of the first opioid request(first 24 hour)
- -inceidence of (POVN) 24 hours postoperatively -Block related complications during and after block procedure till 24 hours postoperatively (LAST, pneumohorax and vascular puncture during block procedure)(first 24 hours)
- -Block related complications during and after block procedure till 24 hours postoperatively (LAST, pneumohorax and vascular puncture during block procedure)(first 24 hours)
研究者
Rana El-sayed Ali Ibrahim
doctor
Assiut University