Paracoracoid Subscapularis Plane Block Versus Iso Block for Shoulder Surgery for Shoulder Surgery

Fayoum University Hospital

Status: Enrolling

Conditions: Post Operative Pain

Treatments: Procedure: Paracoracoid subscapularis plane block; Procedure: Infraclavicular and subomohoid block

Study type: Interventional

Funder types: Other

Identifiers

NCT05439837

D 229

Details and patient eligibility

About

Shoulder surgery is the second orthopedic operation cause post operative pain Interscalene block is the standard block for shoulder surgery but it cause phrenic nerve block and diaphragmatic hemipareses Iso block is the block used to block the brachial plexuses cord and suprascapular nerve And paracoracoid subscapularis block supra scapular nerve in supra scapular fosa and axillary nerve as it curves around humeral head

Full description

Two groups Group S for paracoracoid subscapularis block Group I for iso block Twenty patients for para coracoid subscapularis block with ultra sonography 50 mm 22G needle inserted anterior to the fascia and 15ml o.5% bupivicaine injected another twenty patients for iso block a linear probe of ultrasound is placed in the infraclavicular region to identify the cords the needle is inserted 2-3cm superior to the clavicle and advanced in.plane posterior to the clavicle toward the cods and 25ml local anaesthesia is injected

Enrollment: 40 estimated patients

Sex: All

Ages: 20 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• male or female patient >20year for shoulder surgery American Society of anaesthesiologist physical state 1 to2

Exclusion criteria

• refusal of patient Systemic infection Local infection Neurological or respiratory disease

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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40 participants in 2 patient groups

Infraclavicular and subomohoid block

Active Comparator group

Treatment:

Procedure: Infraclavicular and subomohoid block

Paracoracoid subscapularis plane block

Active Comparator group

Treatment:

Procedure: Paracoracoid subscapularis plane block