Is Pericapsular Nerve Group (PENG) Block Superior to Interscalene Nerve Block Regarding Motor Power Affection in Shoulder Scope Surgeries? A Randomised Comparative Study.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 2
- 主要终点
- Time for full recovery of hand motor power
研究概览
简要总结
The goal of this clinical trial is to learn if pericapsular nerve group block (PENG) in shoulder scope surgery provides adequate analgesia with less affection of muscle power compared to interscalene block. The main questions it aims to answer are:
Does PENG block provide analgesia similar to interscalene block? Does PENG block have less or no effect on muscle power compared to interscalene block? Researchers will compare PENG block with interscalene block
Participants will:
Receive either PENG or interscalene block before shoulder scope surgery Be evaluated for their motor power after receiving the block and after the surgery Be evaluated for pain after the surgery
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 (Outcomes Assessor)
入排标准
- 年龄范围
- 22 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients of the specified age range
- •Any gender
- •American Society of Anaesthesiologists physical status grades 1 and 2
- •Body mass index less than 35
- •Duration of surgery between 90 to 120 minutes
排除标准
- •American Society of Anaesthesiologists physical status grades 3 and 4
- •Allergy to local anesthetics
- •Coagulation disorder (INR >1.2, Platelets <100,000), or recent intake of clopidogrel or warfarin within 1 week
- •Active infection at site of injection
研究组 & 干预措施
Group P
This arm will receive PENG block
干预措施: Pericapsular Nerve Group (PENG) Block (Procedure)
Group P
This arm will receive PENG block
干预措施: Acuson X300 ultrasound,Siemens medical solution INC, Germany (Device)
Group I
This arm will receive interscalene block
干预措施: Interscalene Nerve Block (Procedure)
Group I
This arm will receive interscalene block
干预措施: Acuson X300 ultrasound,Siemens medical solution INC, Germany (Device)
结局指标
主要结局
Time for full recovery of hand motor power
时间窗: Starting from block activation until the achieves preoperative grip strength ( 24 hours)
Time from start of block activation till time of achieving grip strength similar to patient's baseline
Time for full recovery of hand motor power
时间窗: Starting from block activation until the achieves preoperative grip strength ( 24 hours)
Time from start of block activation till time of achieving grip strength similar to patient's baseline
次要结局
- Hand grip power after surgery(2,4,6,12,24 hours)
- Visual analogue scale assessment(2,4,6,12 hours)
- Time to first analgesia request(24 hours)
- Patient satisfaction score(24 hours)
- Hand grip power after surgery(2,4,6,12,24 hours)
- Visual analogue scale assessment(2,4,6,12 hours)
- Time to first analgesia request(24 hours)
- Patient satisfaction score(24 hours)
研究者
Sherin Refaat
Dr. Sherine Refaat Mahmoud, Assistant Professor of anesthesiology, surgical ICU and pain management
Cairo University