Pericapsular Nerve Block Versus Interscalene Nerve Block for Acute Pain Management in Shoulder Arthroscopy

NCT ID: NCT05788367

Last Updated: 2023-10-03

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 44 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-07-15
• Study Completion Date: 2024-03-01

Brief Summary

The aim of this study is to compare PENG and ISB after shoulder arthroscopy for postoperative pain management after shoulder arthroscopy.

Detailed Description

Shoulder arthroscopy is a common procedure done is orthopedics for many surgical indications as rotator cuff tears, stiffness and instability. This procedure has a well - documented postoperative pain. To improve the outcome after surgery, effective pain control is needed.

Various methods are used for postoperative pain management. Intravenous opioid agents are among them, but they may cause undesirable side effects, such as respiratory depression, sedation, constipation, allergic reaction, nausea, and vomiting. Thus, alternative techniques are preferred.

Interscalene brachial plexus blocks (ISBPBs) are often used to provide perioperative analgesia and anesthesia for shoulder surgery. They target nerve roots C4-C6 and thereby provide regional analgesia to the shoulder and upper arm. Although ISBPBs are often performed in combination with general anesthesia (GA) to enhance postoperative analgesia, they are also sometimes used as a sole means of anesthesia.

The pericapsular nerve group (PENG) block is an ultrasound-guided approach, first described by Giron-Arango et al. for the blockade of the articular branches of the femoral, obturator and accessory obturator nerves that provide sensory innervation to the anterior hip capsule. It has been successfully used as an alternative regional anaesthesia technique for the management of acute pain after hip fracture, and for analgesia after elective hip surgery

Conditions

Pericapsular Nerve Block; Interscalene Nerve Block; Shoulder Arthroscopy

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: TRIPLE

Study Groups

The pericapsular nerve group

patients received Ultrasound guided The pericapsular nerve group block using 20 ml of bupivacaine 0.5%

Group Type: ACTIVE_COMPARATOR

The pericapsular nerve group

Intervention Type: PROCEDURE

patients received Ultrasound guided pericapsular nerve group block using 20 ml of bupivacaine 0.5%

Interscalene group

patients will receive interscalene brachial plexus block using 15 ml of bupivacaine 0.5% before induction of general anesthesia.

Group Type: ACTIVE_COMPARATOR

Interscalene brachial plexus block

Intervention Type: PROCEDURE

patients will receive interscalene brachial plexus block using 15 ml of bupivacaine 0.5% before induction of general anesthesia

Interventions

The pericapsular nerve group

patients received Ultrasound guided pericapsular nerve group block using 20 ml of bupivacaine 0.5%

Intervention Type: PROCEDURE

Interscalene brachial plexus block

patients will receive interscalene brachial plexus block using 15 ml of bupivacaine 0.5% before induction of general anesthesia

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Body mass index < 40 kg/m2
• American Society of Anesthesiologists (ASA) physical status I-II
• posted for elective shoulder arthroscopy

Exclusion Criteria

• Known allergy to local anesthetics
• allergy to all opioid medications
• diagnostic shoulder arthroscopic procedures
• patients with chronic opioids use and coagulopathy

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Kafrelsheikh University

OTHER

Sponsor Role: lead

Responsible Party

Mohamed Fouad Algyar

Lecturer of Anaesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Kafrelsheikh University

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Mohammed F Algyar, MD

Role: PRINCIPAL_INVESTIGATOR

Lecturer of Anaesthesiology, Surgical Intensive Care and Pain Medicine, Faculty of Medicine, Kafrelsheikh University

Locations

Mohammed Fouad Mohamed Algyar

Kafr ash Shaykh, Kafrelsheikh, Egypt

Site Status: RECRUITING

Countries

Egypt

Central Contacts

Mohammed F Algyar, MD

Role: CONTACT

mohammad.algaiar@med.kfs.edu.eg

00201111645345 ext. 047

Facility Contacts

Mohammed F Algyar, MD

Role: primary

mohammad.algaiar@med.kfs.edu.eg

00201111645345 ext. 047

Other Identifiers

MKSU 50-12-7

Identifier Type: -

Identifier Source: org_study_id