Shoulder Arthroscopic Surgery
Conditions
Brief summary
The goal of this clinical trial is to learn if pericapsular nerve group block (PENG) in shoulder scope surgery provides adequate analgesia with less affection of muscle power compared to interscalene block. The main questions it aims to answer are: Does PENG block provide analgesia similar to interscalene block? Does PENG block have less or no effect on muscle power compared to interscalene block? Researchers will compare PENG block with interscalene block Participants will: Receive either PENG or interscalene block before shoulder scope surgery Be evaluated for their motor power after receiving the block and after the surgery Be evaluated for pain after the surgery
Interventions
PROCEDUREPericapsular Nerve Group (PENG) Block
Injection of local anesthetic between deltoid muscle and subcapsularis tendon
PROCEDUREInterscalene Nerve Block
Injection of local anesthetic between anterior and middle scalene muscles around the roots of brachial plexus
DEVICEAcuson X300 ultrasound,Siemens medical solution INC, Germany
high frequency linear probe
Sponsors
Sherin Refaat
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
22 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Adult patients of the specified age range * Any gender * American Society of Anaesthesiologists physical status grades 1 and 2 * Body mass index less than 35 * Duration of surgery between 90 to 120 minutes
Exclusion criteria
* American Society of Anaesthesiologists physical status grades 3 and 4 * Allergy to local anesthetics * Coagulation disorder (INR \>1.2, Platelets \<100,000), or recent intake of clopidogrel or warfarin within 1 week * Active infection at site of injection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time for full recovery of hand motor power | Starting from block activation until the achieves preoperative grip strength ( 24 hours) | Time from start of block activation till time of achieving grip strength similar to patient's baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hand grip power after surgery | 2,4,6,12,24 hours | The measured hand grip power using a digital dynamometer |
| Visual analogue scale assessment | 2,4,6,12 hours | Assessing postoperative pain, scale from 0 to 10 where 0 is no pain and 10 is worst pain |
| Time to first analgesia request | 24 hours | Time from end of the surgery till the participant asks for additional analgesia |
| Patient satisfaction score | 24 hours | Assessing the participant satisfaction after the postoperative period regarding overall experience with the block given on a scale of 1 to 5, where 1 is the least satisfaction and 5 is the greatest. |
Countries
Egypt
Contacts
Primary ContactResearch Ethics Committee
Outcome results
None listed