Comparative Study of Analgesic Efficacy of Ultrasound Guided Interscalene Block Versus Combined Shoulder Anterior Capsular Block and Suprascapular Nerve Block for Arthroscopic Shoulder Surgeries.
Overview
- Phase
- N/A
- Intervention
- Ultrasound-guided Interscalene Block group
- Conditions
- Post Operative Pain
- Sponsor
- Tanta University
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- post operative analgesic consumption
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
This study will be conducted to compare the perioperative analgesic efficacy of ultrasound - guided interscalene brachial plexus block versus combined shoulder anterior capsular block and anterior suprascapular nerve block for arthroscopic shoulder surgeries.
Investigators
Hosameldin Ibrahim Ibrahim Elsayed Eldib
ASSISTANT LECTURER OF ANESTHESIA AND INTENSIVE CARE AND PAIN MEDICINE
Tanta University
Eligibility Criteria
Inclusion Criteria
- •Patients aged 20-65 years of both sexes, with American Society of Anesthesiologists (ASA) physical status I or II admitted for arthroscopic shoulder surgery.
Exclusion Criteria
- •Patient refusal.
- •Uncooperative patient.
- •Patient with neurological deficit.
- •Patients with respiratory disorders.
- •Patient with bleeding disorders.
- •Infection at the block injection site.
- •Patients with history of allergy to local anesthetics.
Arms & Interventions
group 1 Ultrasound-guided Interscalene Block group
In this group, ultrasound-guided ISB will be done using 10 ml of bupivacaine 0.25%.
Intervention: Ultrasound-guided Interscalene Block group
group 1 Ultrasound-guided Interscalene Block group
In this group, ultrasound-guided ISB will be done using 10 ml of bupivacaine 0.25%.
Intervention: Bupivacaine
group 2 Combined Ultrasound guided shoulder anterior capsular block and suprascapular nerve block
, ultrasound-guided SHAC block will be done using 10 ml of bupivacaine 0.25% injected in the interfacial plane between deltoid and subscapular muscle and 10 ml of bupivacaine 0.25% injected in the pericapsular space. Ultrasound-guided SSN block will be done using 10 ml of bupivacaine 0.25% injected at sub omohyoid space.
Intervention: Combined Ultrasound guided shoulder anterior capsular block and suprascapular nerve block
group 2 Combined Ultrasound guided shoulder anterior capsular block and suprascapular nerve block
, ultrasound-guided SHAC block will be done using 10 ml of bupivacaine 0.25% injected in the interfacial plane between deltoid and subscapular muscle and 10 ml of bupivacaine 0.25% injected in the pericapsular space. Ultrasound-guided SSN block will be done using 10 ml of bupivacaine 0.25% injected at sub omohyoid space.
Intervention: Bupivacaine
Outcomes
Primary Outcomes
post operative analgesic consumption
Time Frame: 24 hours after surgery
The first 24 hours post operative analgesic consumption
Secondary Outcomes
- Visual Analogue score (VAS) in the first 24 hours after surgery(first 24 hours after surgery)
- Patient satisfaction score(first 24 hours after surgery)
- The incidence of hemi diaphragmatic paralysis(immediately before block and immediately after procedure)