Comparative Study of Analgesic Efficacy of Ultrasound Guided Interscalene Block Versus Combined Shoulder Anterior Capsular Block and Suprascapular Nerve Block for Arthroscopic Shoulder Surgeries.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- post operative analgesic consumption
研究概览
简要总结
This study will be conducted to compare the perioperative analgesic efficacy of ultrasound - guided interscalene brachial plexus block versus combined shoulder anterior capsular block and anterior suprascapular nerve block for arthroscopic shoulder surgeries.
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
- 20 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients aged 20-65 years of both sexes, with American Society of Anesthesiologists (ASA) physical status I or II admitted for arthroscopic shoulder surgery.
排除标准
- •Patient refusal.
- •Uncooperative patient.
- •Patient with neurological deficit.
- •Patients with respiratory disorders.
- •Patient with bleeding disorders.
- •Infection at the block injection site.
- •Patients with history of allergy to local anesthetics.
研究组 & 干预措施
group 1 Ultrasound-guided Interscalene Block group
In this group, ultrasound-guided ISB will be done using 10 ml of bupivacaine 0.25%.
干预措施: Ultrasound-guided Interscalene Block group (Procedure)
group 1 Ultrasound-guided Interscalene Block group
In this group, ultrasound-guided ISB will be done using 10 ml of bupivacaine 0.25%.
干预措施: Bupivacaine (Drug)
group 2 Combined Ultrasound guided shoulder anterior capsular block and suprascapular nerve block
, ultrasound-guided SHAC block will be done using 10 ml of bupivacaine 0.25% injected in the interfacial plane between deltoid and subscapular muscle and 10 ml of bupivacaine 0.25% injected in the pericapsular space. Ultrasound-guided SSN block will be done using 10 ml of bupivacaine 0.25% injected at sub omohyoid space.
干预措施: Combined Ultrasound guided shoulder anterior capsular block and suprascapular nerve block (Procedure)
group 2 Combined Ultrasound guided shoulder anterior capsular block and suprascapular nerve block
, ultrasound-guided SHAC block will be done using 10 ml of bupivacaine 0.25% injected in the interfacial plane between deltoid and subscapular muscle and 10 ml of bupivacaine 0.25% injected in the pericapsular space. Ultrasound-guided SSN block will be done using 10 ml of bupivacaine 0.25% injected at sub omohyoid space.
干预措施: Bupivacaine (Drug)
结局指标
主要结局
post operative analgesic consumption
时间窗: 24 hours after surgery
The first 24 hours post operative analgesic consumption
次要结局
- Visual Analogue score (VAS) in the first 24 hours after surgery(first 24 hours after surgery)
- Patient satisfaction score(first 24 hours after surgery)
- The incidence of hemi diaphragmatic paralysis(immediately before block and immediately after procedure)
研究者
Hosameldin Ibrahim Ibrahim Elsayed Eldib
ASSISTANT LECTURER OF ANESTHESIA AND INTENSIVE CARE AND PAIN MEDICINE
Tanta University