Post Operative Pain
Conditions
Brief summary
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.
Interventions
ultrasound guided interscalene block versus combined ultrasound guided shoulder anterior capsular block and suprascapular nerve block for arthroscopic shoulder surgery
Combined Ultrasound guided shoulder anterior capsular block and suprascapular nerve block
bupivacaine 0.25%.
Sponsors
Study design
Eligibility
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| post operative analgesic consumption | 24 hours after surgery | The first 24 hours post operative analgesic consumption |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analogue score (VAS) in the first 24 hours after surgery | first 24 hours after surgery | \- Postoperative pain intensity will be assessed in the first 24 hour using VAS score where (0 = no pain and 100 = the worst imaginable pain) |
| Patient satisfaction score | first 24 hours after surgery | Patient satisfaction score will be assessed on the basis of a questionnaire and graded on a 4-point scale (excellent/good/fair/poor). |
| The incidence of hemi diaphragmatic paralysis | immediately before block and immediately after procedure | hemidiaphragmatic paralysis after block |
Countries
Egypt