Dexamethasone, Shoulder Arthroscopy Blocks
Conditions
Brief summary
In this study the investigators aim to compare the effect of the suprascapular- supraclavicular nerve block in association with dexamethasone to that of the interscalene brachial plexus block on analgesic effect during arthroscopic shoulder surgery, as postoperative pain scores ,postoperative consumption of analgesic rescue medications and diaphragmatic excursion assessment.
Interventions
PROCEDUREShoulder arthroscopy blocks
Effect of dexamethasone adjuvant in combined supraclavicular block and suprascapular block versus Interscalene block in patients undergoing shoulder arthroscopy.
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
* ASA status 1,2. * Age 18 years or older * Elective shoulder arthroscopic surgery under general anesthesia and nerve block performed preoperatively.
Exclusion criteria
* • Patient refusal * Serious cardiac arrhythmias (including atrial fibrillation) or unstable coronary artery disease. * Use of drugs that act on the autonomic nervous system (including β- blockers). * Coagulation disorders.. * Anatomical disorders and/or neuropathic disease. * BMI above 40. * History of substance abuse. * Chronic use of psychotropic and/or opioid. * History of psychiatric diseases needing treatment. * Allergy to any drug in the study protocol. * Failure of nerve block performed in the preoperative block room when tested prior to entering the operating room (i.e. lack of loss of sensation to ice at the shoulder incision level).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative analgesia by visual analog scale (VAS). | 48 hours | The primary outcome of this study will be to evaluate and compare between suprascapular-supraclavicular nerve block in association with dexamethasone to that of the interscalene brachial plexus block on postoperative analgesia by vas score during 48h postoperatively ( 2h , 6h , 12h, 24h and 48h). The VAS consists of a 10cm line, with two end points representing 0 ('no pain') and 10 ('pain as bad as it could possibly be'). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diaphragmatic excursion | 1hour postoperatively | Assessment of diaphragmatic excursion by ultrasound preoperatively and 1hour postoperatively |
Countries
Egypt
Contacts
Primary ContactMohamed Ahmed
Backup ContactMohamed Talaat
Outcome results
None listed