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Anterior Glenoid Nerve Block Versus Pericapsular Nerve Group Block Versus Interscalene Brachial Plexus Block for Postoperative Pain Management in Shoulder Arthroscopic Surgeries

A

Ain Shams University

Status

Enrolling

Conditions

Postoperative Pain
Interscalene Brachial Plexus Block
Pericapsular Nerve Group Block
Anterior Glenoid Nerve Block
Shoulder Arthroscopic Surgeries

Treatments

Other: Anterior glenoid nerve block
Other: Pericapsular nerve group block
Other: Interscalene brachial plexus block

Study type

Interventional

Funder types

Other

Identifiers

NCT06765278
FMASU MD195/2024

Details and patient eligibility

About

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

Full 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.

Enrollment

49 estimated patients

Sex

All

Ages

18 to 70 years old

Volunteers

No Healthy Volunteers

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

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

49 participants in 3 patient groups

Interscalene brachial plexus block group
Active Comparator group
Description:
Patients will receive an Interscalene brachial plexus block.
Treatment:
Other: Interscalene brachial plexus block
Anterior glenoid nerve block group
Experimental group
Description:
Patients will receive an anterior glenoid nerve block.
Treatment:
Other: Anterior glenoid nerve block
Pericapsular nerve group (PENG) block group
Experimental group
Description:
Patients will receive a pericapsular nerve group (PENG) block.
Treatment:
Other: Pericapsular nerve group block

Trial contacts and locations

1

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Central trial contact

Mohamed Serry, Master

Data sourced from clinicaltrials.gov

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