Efficacy and Safety of Superior Trunk Block Versus Interscalene Block for Post-operative Analgesia in Shoulder Surgeries

Not Applicable

Completed

• Conditions: Superior Trunk Block Versus Interscalene Block for Post-operative Analgesia in Shoulder Surgeries
• Interventions: Procedure: interscalene block; Procedure: superior trunk block

• Registration Number: NCT05978427
• Lead Sponsor: Ain Shams University

Brief Summary

Efficacy and safety of superior trunk block versus interscalene block for post-operative analgesia in shoulder surgeries

Detailed Description

The interscalene brachial plexus block is the gold standard analgesic technique for surgery involving the shoulder and upper arm. However, due to its complications as hemidiaphragmatic paralysis, the superior trunk block was developed in an attempt to reduce major complications.The utility of the superior trunk block has yet to be studied in shoulder surgeries.

Study Timeline

• Status Verified: 2023-05
• Study Start: 2023-05-01
• Study First Submitted: 2023-07-30
• Study First Submitted QC: 2023-07-30
• Study First Posted: 2023-08-07
• Primary Completion: 2023-11-01
• Study Completion: 2023-12-01
• Last Update Submitted: 2024-06-27
• Last Update Posted: 2024-06-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Patients American Society of Anaesthesiologists physical status (ASA) is I to II.
• Both genders.
• Aged group from 21 to 50 years old.
• Patients electively scheduled for shoulder surgery under general anesthesia with normal coagulation profile.

Exclusion Criteria

• Refusal of the procedure or participation in the study.
• Any history or evidence of coagulopathy.
• Evidence of infection at injection site.
• Allergy to study drugs.
• Patients with pulmonary severe respiratory disease.
• Herniated cervical disc or cervical myelopathy.
• Pre-existing neuropathy of the operative limb

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
superior trunk block group	superior trunk block	participants undergoing shoulder surgeries will receive ultrasound guided superior trunk block
superior trunk block group	interscalene block	participants undergoing shoulder surgeries will receive ultrasound guided superior trunk block
interscalene block group	interscalene block	participants undergoing shoulder surgeries will receive ultrasound guided interscalene block
interscalene block group	superior trunk block	participants undergoing shoulder surgeries will receive ultrasound guided interscalene block

Primary Outcome Measures

Name	Time	Method
diaphragmatic paralysis postoperative	within 24 hours after surgery	o The incidence of diaphragmatic paralysis postoperative assessed by Diaphragmatic excursion distance by Ultrasound

Secondary Outcome Measures

Name	Time	Method
rescue analgesia	within 24 hours after surgery	The total amount of rescue analgesia used
analgesic efficacy	within 24 hours after surgery	o Analgesic efficacy of the nerve block in both groups by assessing postoperative pain vas score
Post operative nausea and vomiting	within 24 hours after surgery	incidence of post operative complications as nausea an vomiting

Trial Locations

Locations (1)

Ainshams University; 🇪🇬 Cairo, Egypt