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Comparison Between Dexametidomedine\Bupivacaine and Plain Bupivacaine in Superior Trunk Block for Arthroscopic Shoulder Surgeries

Not Applicable
Completed
Conditions
Arthroscopic Shoulder Surgery
Post Operative Pain, Acute
Interventions
Drug: dexametedomidine
Registration Number
NCT07046325
Lead Sponsor
Ain Shams University
Brief Summary

Comparison between dexametidomedine\\bupivacaine and plain bupivacaine in superior trunk block for arthroscopic shoulder surgeries

Detailed Description

This study will be conducted to investigate the efficacy of adding dexmedetomidine in STB for postoperative analgesia in patients undergoing arthroscopic shoulder surgery.

* Inclusion Criteria:

1. age ;20-50 years old of both genders

2. American Society of Anesthesiologists physical status I and II

3. BMI less than 30

4. Arthroscopic shoulder surgeries.

* Exclusion Criteria:

1. Patients with ASA more than II

2. Patients with a sepsis, malignancy anywhere

3. Patient with bleeding tendencies or on anticoagulation therapy

4. Patients with pre-existing neurologic deficit or neuropathy affecting brachial plexus

5. Allergy to study drugs.

Study groups:

The patients will be randomized into 2 groups:

1. Group DB: are administered Ultrasound guided STB with bupivacaine and dexametidomedine.

2. Group B: are administered Ultrasound guided STB with bupivacaine.

Primary outcome:

Duration of analgesia of Superior trunck block.

Secondary outcome:

1. Cumulative dose of postoperative consumption of the rescue analgesia during 24h after STB

2. Durations of motor blockade (DOM)

3. Residual block related neurological symptoms

4. Hemodynamic variables

5. Dyspnea and sedation scale.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Age ;20-50 years old
  • Both genders
  • American Society of Anesthesiologists physical status I and II
  • BMI less than 30
  • Arthroscopic shoulder surgeries.
Exclusion Criteria
  • Patients with ASA more than II
  • Patients with a sepsis, malignancy anywhere
  • Patient with bleeding tendencies or on anticoagulation therapy
  • Patients with pre-existing neurologic deficit or neuropathy affecting brachial plexus
  • Allergy to study drugs.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
group BBupivacaingroup administered Ultrasound guided STB with bupivacaine
group DBdexametedomidinegroup administered Ultrasound guided STB with bupivacaine and dexametidomedine.
group DBBupivacaingroup administered Ultrasound guided STB with bupivacaine and dexametidomedine.
Primary Outcome Measures
NameTimeMethod
Duration of analgesia of Superior trunck block.24 hours

The DOA will be defined as the time interval between STB and the first need for the rescue analgesics.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Ain Shams University

🇪🇬

Cairo, Egypt

Ain Shams University
🇪🇬Cairo, Egypt

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