Ultrasound-guided PENG Block for Shoulder Surgery

Zhengzhou University

Status: Unknown

Conditions: Pain After Shoulder Surgery

Treatments: Procedure: Interscalene block; Procedure: Pericapsular nerve group block

Study type: Interventional

Funder types: Other

Identifiers

NCT05072223

PBFS

Details and patient eligibility

About

Significant pain after shoulder surgery induce worse experience and may delay recovery of patients undergoing shoulder surgery. Interscalene brachial plexus block (ISB) is a common and rapid-onset procedure for pain control of patients undergoing shoulder surgery. However, the high incidence of adverse events such as hemidiaphragmatic paresis, horner syndrome after interscalene block threatened patients' safety and raised clinicians' concerns on them. Hence, effective analgesia alternatives to interscalene block with less complications are needed.

Recently, pericapsular Nerve Group (PENG) Block, a new technology is reported for block of articular branches of the shoulder and well pericapsular spread around the glenohumeral joint. In this study, we assume that PENG Block may offer a noinferior analgesia and less incidence of nerve block related adverse events compared with ISB.

Enrollment: 80 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• ASA I-III
• 18 years and older
• Shoulder surgery

Exclusion criteria

• Severe pulmonary diseas
• Chronic pain disorders
• Infection of shouler skin
• Pregnant women
• Patients allergy to local anesthetics

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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80 participants in 2 patient groups

Group A

Experimental group

Treatment:

Procedure: Pericapsular nerve group block

Group B

Active Comparator group

Treatment:

Procedure: Interscalene block