PeriCapsular Nerve Group Block, Postoperative Analgesia, Preoperative, Shoulder Arthroscopic Surgery, Ultrasound-Guided
Conditions
Brief summary
This study aimed to evaluate the analgesic efficacy of preoperative ultrasound-guided peri-capsular nerve group block (PENG) on postoperative analgesia after shoulder arthroscopic surgery.
Detailed description
Postoperative pain control after shoulder surgery is challenging, and poor pain management is invariably reflected in poor outcomes, with longer hospitalization and recovery time. The difficulty in reducing pain due to the complexity of shoulder innervation leads to conducting studies to explore selective axillary nerve blocks with a posterior approach or from the axillae. The peri-capsular nerve group (PENG) block is a regional anesthetic technique. It can be effectively and safely applied under ultrasound guidance in shoulder surgery cases for postoperative analgesia. It targets only the sensory branches and not the posterior mechanoreceptors; there is a potential motor-sparing effect which is desirable for better physical therapy, and earlier discharge.
Interventions
DRUGSaline
Patients received sham PENG block (just 1mL saline).
Patients received real PENG block (15 mL of bupivacaine 0.25% +0.2mg/mL dexamethasone).
Sponsors
Tanta University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
21 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Age from 21 to 65 years. * Both sexes. * American Society of Anesthesiologists (ASA) physical status I-III. * Scheduled for unilateral shoulder arthroscopic surgery.
Exclusion criteria
* Patient refusal. * Known hypersensitivity to local anesthetics. * Body mass index\> 35 kg /m2. * Uncooperative or psychiatric patients. * Infection at the injection site. * Coagulation disorder. * Major cardiac, renal, or hepatic diseases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to the first request of rescue analgesia | 24 hours postoperatively | Time to the first request of rescue analgesia was recorded from the end of the surgery till first dose of morphine administrated. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Degree of pain | 24 hours postoperatively | The degree of pain was assessed using the Numerical Rating Scale (NRS) Pain score (metric score from 0 to 10 where 0 = no pain and 10 = maximal pain). NRS was recorded at PACU and 2, 4, 6, 8, 12, 16, 20, and 24 h postoperative. |
| Total morphine consumption | 24 hours postoperatively | If patient numeric rating score was more than 3, patients received 3 mg morphine slowly intravenously. Morphine injection was repeated whenever required. |
Countries
Egypt
Outcome results
None listed