Ultrasound-guided PENG Block for Shoulder Surgery

NCT ID: NCT05072223

Last Updated: 2021-10-08

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

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-11-01

Study Completion Date

2022-03-01

Brief Summary

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Significant pain after shoulder surgery induce worse experience and may delay recovery of patients undergoing shoulder surgery. Interscalene brachial plexus block (ISB) is a common and rapid-onset procedure for pain control of patients undergoing shoulder surgery. However, the high incidence of adverse events such as hemidiaphragmatic paresis, horner syndrome after interscalene block threatened patients' safety and raised clinicians' concerns on them. Hence, effective analgesia alternatives to interscalene block with less complications are needed.

Recently, pericapsular Nerve Group (PENG) Block, a new technology is reported for block of articular branches of the shoulder and well pericapsular spread around the glenohumeral joint. In this study, we assume that PENG Block may offer a noinferior analgesia and less incidence of nerve block related adverse events compared with ISB.

Detailed Description

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Conditions

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Pain After Shoulder Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Group A

Group Type EXPERIMENTAL

Pericapsular nerve group block

Intervention Type PROCEDURE

A new nerve block guided by ultrasound that aims to block articular branches of the shoulder.

Group B

Group Type ACTIVE_COMPARATOR

Interscalene block

Intervention Type PROCEDURE

A common and rapid-onset nerve block method guided by ultrasound for pain control of patients undergoing shoulder surgery.

Interventions

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Pericapsular nerve group block

A new nerve block guided by ultrasound that aims to block articular branches of the shoulder.

Intervention Type PROCEDURE

Interscalene block

A common and rapid-onset nerve block method guided by ultrasound for pain control of patients undergoing shoulder surgery.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* ASA I-III
* 18 years and older
* Shoulder surgery

Exclusion Criteria

* Severe pulmonary diseas
* Chronic pain disorders
* Infection of shouler skin
* Pregnant women
* Patients allergy to local anesthetics
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Henan Provincial People's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

References

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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 BACKGROUND
PMID: 32987232 (View on PubMed)

Yamak Altinpulluk E, Galluccio F, Salazar C, Olea MS, Garcia Simon D, Espinoza K, Teles AS, Gonzalez-Arnay E, Fajardo Perez M. A novel technique to Axillary Circumflex Nerve Block: Fajardo approach. J Clin Anesth. 2020 Sep;64:109826. doi: 10.1016/j.jclinane.2020.109826. Epub 2020 Apr 16. No abstract available.

Reference Type BACKGROUND
PMID: 32305791 (View on PubMed)

Kupeli I, Yazici Kara M. Anesthesia or analgesia? New block for shoulder surgery: pericapsular nerve group block. Braz J Anesthesiol. 2022 Sep-Oct;72(5):669-672. doi: 10.1016/j.bjane.2021.05.009. Epub 2021 Jun 9.

Reference Type BACKGROUND
PMID: 34118263 (View on PubMed)

Lee MG, Shin YJ, You HS, Lim CH, Chang YJ, Shin HJ. A Comparison of Anesthetic Quality Between Interscalene Block and Superior Trunk Block for Arthroscopic Shoulder Surgery: A Randomized Controlled Trial. Pain Physician. 2021 May;24(3):235-242.

Reference Type BACKGROUND
PMID: 33988942 (View on PubMed)

Other Identifiers

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PBFS

Identifier Type: -

Identifier Source: org_study_id

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