Anterior Glenoid Nerve Block Versus Pericapsular Nerve Group (PENG) Block Versus Interscalene Brachial Plexus (ISB) Block for Postoperative Pain Management in Shoulder Arthroscopic Surgeries
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anterior Glenoid Nerve Block
- Sponsor
- Ain Shams University
- Enrollment
- 49
- Locations
- 1
- Primary Endpoint
- Time to the 1st rescue analgesia
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
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
Detailed Description
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.
Investigators
Mohamed Serry
Assistant Lecturer of Anaesthesia, Intensive Care and Pain Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Ain Shams University
Eligibility Criteria
Inclusion Criteria
- •Age from 18 to 70 years.
- •No sex predilection.
- •American Society of Anesthesiology (ASA) physical status I-II.
- •Undergoing shoulder arthroscopic surgeries.
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Time to the 1st rescue analgesia
Time Frame: 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).
Secondary Outcomes
- 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)