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Paracoracoid Subscapularis Plane Block Versus Iso Block for Shoulder Surgery for Shoulder Surgery

Not Applicable
Conditions
Post Operative Pain
Interventions
Procedure: Infraclavicular and subomohoid block
Procedure: Paracoracoid subscapularis plane block
Registration Number
NCT05439837
Lead Sponsor
Fayoum University Hospital
Brief Summary

Shoulder surgery is the second orthopedic operation cause post operative pain Interscalene block is the standard block for shoulder surgery but it cause phrenic nerve block and diaphragmatic hemipareses Iso block is the block used to block the brachial plexuses cord and suprascapular nerve And paracoracoid subscapularis block supra scapular nerve in supra scapular fosa and axillary nerve as it curves around humeral head

Detailed Description

Two groups Group S for paracoracoid subscapularis block Group I for iso block Twenty patients for para coracoid subscapularis block with ultra sonography 50 mm 22G needle inserted anterior to the fascia and 15ml o.5% bupivicaine injected another twenty patients for iso block a linear probe of ultrasound is placed in the infraclavicular region to identify the cords the needle is inserted 2-3cm superior to the clavicle and advanced in.plane posterior to the clavicle toward the cods and 25ml local anaesthesia is injected

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
Inclusion Criteria
  • male or female patient >20year for shoulder surgery American Society of anaesthesiologist physical state 1 to2
Exclusion Criteria
  • refusal of patient Systemic infection Local infection Neurological or respiratory disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Infraclavicular and subomohoid blockInfraclavicular and subomohoid block-
Paracoracoid subscapularis plane blockParacoracoid subscapularis plane block-
Primary Outcome Measures
NameTimeMethod
Pain assessment by VAS scoreAt 48 hours postoperative

the quality of analgesia between (0-100 mm) where 0=no pain and 100 = worst comprehensible pain

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Fayoum University hospital

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Fayoum, Fayoum, Madīnat Al Fayyūm, Faiyum Governorate, Egypt, Egypt

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