Comparison of Interscalene and Pericapsular Nerve Group (PENG) Block in Shoulder Surgery

NCT ID: NCT04718090

Last Updated: 2021-01-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

34 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-02-01

Study Completion Date

2021-07-31

Brief Summary

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Early postoperative pain after shoulder surgery is a major concern and distress for patients and orthopedic surgeons. Adequate pain control; It is vital for all aspects of patient recovery, including mental state, nutrition, cost of care period, rehabilitation, patient satisfaction, and overall post-surgery outcomes.Single analgesic regimens are not always effective in controlling moderate to severe postoperative pain.Therefore, multimodal pain management is preferred and is currently recommended for early postoperative pain control.Regional anesthesia is preferred in shoulder surgery as an effective way to provide anesthesia and postoperative analgesia.To ensure adequate postoperative pain control, nerve supply to the synovium, capsule, joint surfaces, ligaments, periosteum and shoulder muscles must be blocked.Interscalene blocks are well studied and established means of providing analgesia following shoulder surgery and are considered the gold standard mode of regional anesthesia.Pericapsular nerve group block is a new block that provides a pericapsular distribution with local anesthetic infiltration around the glenohumeral joint and provides analgesia without motor blockage by reaching the sensory nerve branches of the glenohumeral joint.The aim of this study was to compare the results between interscalene block and pericapsular nerve group block in patients undergoing shoulder surgery.

Detailed Description

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Conditions

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Visual Analogue Score

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Investigators

Study Groups

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interscalene block

Group Type ACTIVE_COMPARATOR

PENG Block

Intervention Type PROCEDURE

Pericapsular nerve group block in shoulder surgery.

PENG block

Group Type ACTIVE_COMPARATOR

PENG Block

Intervention Type PROCEDURE

Pericapsular nerve group block in shoulder surgery.

Interventions

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PENG Block

Pericapsular nerve group block in shoulder surgery.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* 18 years and over
* American Society of Anesthesiologists (ASA) 1 and 2
* shoulder surgery

Exclusion Criteria

* under 18 years old
* American Society of Anesthesiologists (ASA) 3 and above
* who are allergic to local anesthetics
* patients with infection at the injection site
* pregnant women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Mustafa Kemal University

OTHER

Sponsor Role collaborator

Kocaeli Derince Education and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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Merve Yazici Kara

M.D.

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Merve Yazici Kara, M.D.

Role: CONTACT

+90 533 686 0156

İlke Kupeli, M.D.

Role: CONTACT

+90 555 548 5632

References

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Patel MS, Abboud JA, Sethi PM. Perioperative pain management for shoulder surgery: evolving techniques. J Shoulder Elbow Surg. 2020 Nov;29(11):e416-e433. doi: 10.1016/j.jse.2020.04.049. Epub 2020 Jun 9.

Reference Type RESULT
PMID: 32844751 (View on PubMed)

Sripada R, Bowens C Jr. Regional anesthesia procedures for shoulder and upper arm surgery upper extremity update--2005 to present. Int Anesthesiol Clin. 2012 Winter;50(1):26-46. doi: 10.1097/AIA.0b013e31821a0284.

Reference Type RESULT
PMID: 22227421 (View on PubMed)

Yamak Altinpulluk E, Teles AS, Galluccio F, Simon DG, Olea MS, Salazar C, Fajardo Perez M. Pericapsular nerve group block for postoperative shoulder pain: A cadaveric radiological evaluation. J Clin Anesth. 2020 Dec;67:110058. doi: 10.1016/j.jclinane.2020.110058. Epub 2020 Sep 26. No abstract available.

Reference Type RESULT
PMID: 32987232 (View on PubMed)

Tran J, Peng PWH, Agur AMR. Anatomical study of the innervation of glenohumeral and acromioclavicular joint capsules: implications for image-guided intervention. Reg Anesth Pain Med. 2019 Jan 11:rapm-2018-100152. doi: 10.1136/rapm-2018-100152. Online ahead of print.

Reference Type RESULT
PMID: 30635516 (View on PubMed)

Other Identifiers

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MYaziciKara-1

Identifier Type: -

Identifier Source: org_study_id

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