Post Operative Pain
Conditions
Brief summary
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
Detailed 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
Interventions
PROCEDUREInfraclavicular and subomohoid block
Its blockade of subscapular nerve in the subscapular fossa and axillary nerve as it curves around humeral And blocking of brachial plexuses cord and supra scapular nerve And blocking of the brachial plexuses cord and supra scapular nerve
PROCEDUREParacoracoid subscapularis plane block
Blocking of suprascapular nerve in supra scapular fossa and axillary nerve as it curves the humeral head
Sponsors
Fayoum University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 70 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain assessment by VAS score | At 48 hours postoperative | the quality of analgesia between (0-100 mm) where 0=no pain and 100 = worst comprehensible pain |
Countries
Egypt
Outcome results
None listed