Pain Control After Arthroscopic Shoulder Surgeries

Tanta University

Status: Completed

Conditions: Post Operative Pain

Treatments: Procedure: Combined Ultrasound guided shoulder anterior capsular block and suprascapular nerve block; Procedure: Ultrasound-guided Interscalene Block group; Drug: Bupivacaine

Study type: Interventional

Funder types: Other

Identifiers

NCT05686395

IRB0010038

Details and patient eligibility

About

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.

Enrollment: 90 patients

Sex: All

Ages: 20 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged 20-65 years of both sexes, with American Society of Anesthesiologists (ASA) physical status I or II admitted for arthroscopic shoulder surgery.

Exclusion criteria

• 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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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90 participants in 2 patient groups

group 1 Ultrasound-guided Interscalene Block group

Active Comparator group

Description:

In this group, ultrasound-guided ISB will be done using 10 ml of bupivacaine 0.25%.

Treatment:

Drug: Bupivacaine

Procedure: Ultrasound-guided Interscalene Block group

group 2 Combined Ultrasound guided shoulder anterior capsular block and suprascapular nerve block

Active Comparator group

Description:

, 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.

Treatment:

Drug: Bupivacaine

Procedure: Combined Ultrasound guided shoulder anterior capsular block and suprascapular nerve block