Anterior Glenoid Nerve Block Versus Pericapsular Nerve Group (PENG) Block Versus Interscalene Brachial Plexus (ISB) Block for Postoperative Pain Management in Shoulder Arthroscopic Surgeries
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 49
- 试验地点
- 1
- 主要终点
- Time to the 1st rescue analgesia
研究概览
简要总结
This study aims to compare between Anterior glenoid nerve block, pericapsular nerve group (PENG) block and Interscalene brachial plexus (ISB) block for post-operative pain management in shoulder arthroscopic surgeries
详细描述
Major surgeries of the shoulder constitute some of the most commonly performed orthopedic procedures. They often result in moderate to severe postoperative pain thereby requiring a multimodal analgesic approach centered around peripheral nerve blocks.
Postoperative pain management is the part of shoulder surgery to improve patient satisfaction, start rehabilitation process rapidly and decrease for hospital stay.
Interscalene blocks (ISB) are well-studied and established means of providing analgesia following shoulder surgery and are considered the gold standard mode of regional anesthesia and post-operative pain management in shoulder surgeries.
A novel technique: pericapsular nerve group (PENG) block can be effectively and safely applied under ultrasound guidance in shoulder surgery cases for postoperative analgesia. In addition, PENG block targets articular branches with less motor effect compared with interscalene brachial plexus block providing anesthetic and analgesic effect with less complication and better and sooner ambulation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 70 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age from 18 to 70 years.
- •No sex predilection.
- •American Society of Anesthesiology (ASA) physical status I-II.
- •Undergoing shoulder arthroscopic surgeries.
排除标准
- •Patient's refusal.
- •Patients with a history of drug allergies to study drugs.
- •Evidence of local infection at the site of injection.
- •Inability to cooperate
- •Neuromuscular pathology (example: - Multiple Sclerosis)
- •Previous trauma or surgery to the shoulder
研究组 & 干预措施
Interscalene brachial plexus block group
Patients will receive an Interscalene brachial plexus block.
干预措施: Interscalene brachial plexus block (Other)
Anterior glenoid nerve block group
Patients will receive an anterior glenoid nerve block.
干预措施: Anterior glenoid nerve block (Other)
Pericapsular nerve group (PENG) block group
Patients will receive a pericapsular nerve group (PENG) block.
干预措施: Pericapsular nerve group block (Other)
结局指标
主要结局
Time to the 1st rescue analgesia
时间窗: 24 hours postoperatively
Time to the first request for the rescue analgesia (time from the end of surgery to the first dose of pethidine administrated).
次要结局
- Total pethidine consumption(24 hours postoperatively)
- Degree of pain(24 hours postoperatively)
- Length of hospital stay(Till discharge from hospital (Up to one week).)
- Time needed for the patient to freely move the operated limb(Postoperatively (Up to one week).)
- Degree of patients satisfaction(24 hours postoperatively)
研究者
Mohamed Serry
Assistant Lecturer of Anaesthesia, Intensive Care and Pain Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Ain Shams University