Peng Block or Suprascapular Nerve Block for Postoperative Analgesia in Shoulder Artroscopy ?

Bakirkoy Dr. Sadi Konuk Training and Research Hospital

Status: Completed

Conditions: Orthopedic Disorder; Shoulder Pain; Surgery; Analgesia

Treatments: Drug: Bupivacaine Hydrochloride; Procedure: Pericapsular nerve block; Procedure: Suprascapular nerve block

Study type: Interventional

Funder types: Other

Identifiers

NCT05666076

2022-360

Details and patient eligibility

About

Arthroscopic shoulder surgery, which has been frequently applied in recent years, provides long-term positive clinical results and increases the quality of life after surgery, while it can cause severe pain in the early postoperative period. Postoperative pain management is very important in shoulder arthroplasty. Adequate pain control; mental state, nutrition, cost of care, rehabilitation, and patient satisfaction, are of great importance for the patients' recovery and contribute to a successful surgical outcome.

In this study, the investigators aimed to compare the effects of suprascapular nerve block and shoulder pericapsular nerve block, which will be performed preoperatively with ultrasound, on the level of postoperative pain in patients who will undergo shoulder arthroscopy surgery under general anesthesia.

Full description

As a result of the power analysis the investigators conducted for this study, the minimum sample size was calculated as 32 people for each group, 64 people in total, at the 90% confidence interval.

64 patients who meet the inclusion criteria will be included in our study. The participants will be randomized and divided into 2 groups. Accordingly, the PENG block will be applied to 32 patients, and the suprascapular block will be applied to 32 patients.

Enrollment: 74 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who will have shoulder arthroscopy surgery under general anesthesia
• Ages of 18-75
• ASA I-III

Exclusion criteria

• Patients with deformity and pathology in the shoulder region
• Patients with known local anesthetic allergy
• Patients with BMI>35
• Patients with alcohol and substance addiction
• Patients with opioid addiction
• Patients who cannot perceive and evaluate pain, such as psychiatric illness, mental retardation

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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74 participants in 2 patient groups

Group PENG

Active Comparator group

Description:

The investigators performed a pericapsular nerve block on that patient group for postoperative analgesia.

Treatment:

Drug: Bupivacaine Hydrochloride

Procedure: Pericapsular nerve block

Drug: Bupivacaine Hydrochloride

Group SSNB

Active Comparator group

Description:

The investigators performed a suprascapular nerve block on that patient group for postoperative analgesia.

Treatment:

Drug: Bupivacaine Hydrochloride

Procedure: Suprascapular nerve block

Drug: Bupivacaine Hydrochloride