Effect of Dexamethasone Adjuvant in Combined Supraclavicular Block and Suprascapular Block Versus Interscalene Block in Patients Undergoing Shoulder Arthroscopy
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Postoperative analgesia by visual analog scale (VAS).
研究概览
简要总结
In this study the investigators aim to compare the effect of the suprascapular- supraclavicular nerve block in association with dexamethasone to that of the interscalene brachial plexus block on analgesic effect during arthroscopic shoulder surgery, as postoperative pain scores ,postoperative consumption of analgesic rescue medications and diaphragmatic excursion assessment.
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
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •ASA status 1,
- •Age 18 years or older
- •Elective shoulder arthroscopic surgery under general anesthesia and nerve block performed preoperatively.
排除标准
- •• Patient refusal
- •Serious cardiac arrhythmias (including atrial fibrillation) or unstable coronary artery disease.
- •Use of drugs that act on the autonomic nervous system (including β- blockers).
- •Coagulation disorders..
- •Anatomical disorders and/or neuropathic disease.
- •BMI above
- •History of substance abuse.
- •Chronic use of psychotropic and/or opioid.
- •History of psychiatric diseases needing treatment.
- •Allergy to any drug in the study protocol.
- •Failure of nerve block performed in the preoperative block room when tested prior to entering the operating room (i.e. lack of loss of sensation to ice at the shoulder incision level).
研究组 & 干预措施
Interscalene block in shoulder arthroscopy
干预措施: Shoulder arthroscopy blocks (Procedure)
Combined Supraclavicular block and suprascapular block in shoulder arthroscopy
干预措施: Shoulder arthroscopy blocks (Procedure)
结局指标
主要结局
Postoperative analgesia by visual analog scale (VAS).
时间窗: 48 hours
The primary outcome of this study will be to evaluate and compare between suprascapular-supraclavicular nerve block in association with dexamethasone to that of the interscalene brachial plexus block on postoperative analgesia by vas score during 48h postoperatively ( 2h , 6h , 12h, 24h and 48h). The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be').
次要结局
- Diaphragmatic excursion(1hour postoperatively)
研究者
Mohamed Ahmed
Principal Investigator
Assiut University