Comparative Study Between Interscalene Nerve Block, Anterior Suprascapular Nerve Block, and Pericapsular Nerve Group Block for Arthroscopic Shoulder Surgery
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Tanta University
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- the total opioid consumption.
Study Overview
Brief Summary
This study is designed to investigate the post-operative analgesic effect of interscalene nerve block or anterior suprascapular nerve block compared to pericapsular nerve group block in patient undergoing elective arthroscopic shoulder surgery.
Detailed Description
Shoulder arthroscopy is a common outpatient operation with an increasing number of indications and complexity. Early postoperative pain immediately following shoulder surgery is a major concern and cause of distress for patients and orthopedic surgeons. Adequate pain control is vital for all aspects of the patient's recovery.
Nowadays, several ultrasound -guided regional anesthesia methods are used for postoperative analgesia. Regional techniques such as interscalene and supraclavicular blocks are usually preferred for shoulder analgesia. Interscalene brachial plexus block (ISB) is the gold standard technique in this area.
Suprascapular nerve block (SSB) has been proposed as an alternative to the ISB in providing analgesia for shoulder surgeries as it has a lower likelihood of causing phrenic nerve blockade.
The pericapsular nerve group (PENG) block has been suggested to be safely applied for analgesia and can be part of surgical anesthesia, but alone is not sufficient for anesthesia in shoulder surgery. The block of this area did not cause motor block or pulmonary complications, nor result in muscle laxity, blocking only the shoulder and the upper third of the humerus.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Triple (Participant, Care Provider, Investigator)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Adult patients.
- •ASA class I and II and scheduled for elective shoulder arthroscopy.
Exclusion Criteria
- •Patient who refuses the regional anesthesia technique.
- •History of allergy to local anesthetics.
- •Local infection at the site of the block.
- •History of Pre-existing major organ dysfunction such as hepatic and renal failure.
- •History of pre-existing lung disease (COPD, uncontrolled asthma).
- •Preexisting upper extremity neurological abnormality or neuropathy.
- •Difficulties in comprehending (NRS).
- •Chronic opioid users (opioid intake more than 3 months).
Arms & Interventions
Group (I)
30 patients will receive interscalene nerve block.
Intervention: interscalene nerve block (Procedure)
Group (II)
30 Patients will receive anterior suprascapular nerve block.
Intervention: anterior suprascapular nerve block (Procedure)
Group (III)
30 atients will receive pericapsular nerve group block around shoulder surgery
Intervention: Peri-capsular nerve group block (Procedure)
Outcomes
Primary Outcomes
the total opioid consumption.
Time Frame: 24-hour postoperatively
Postoperative analgesia will be assessed by total opioid consumption and time till administration of first rescue analgesia will be recorded.
Secondary Outcomes
No secondary outcomes reported
Investigators
Shrouk Elsawaf
Resident
Tanta University