Efficacy and Safety of Superior Trunk Block Versus Interscalene Block for Post-operative Analgesia in Shoulder Surgeries

NCT ID: NCT05978427

Last Updated: 2024-06-28

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-05-01
• Study Completion Date: 2023-12-01

Brief Summary

Efficacy and safety of superior trunk block versus interscalene block for post-operative analgesia in shoulder surgeries

Detailed Description

The interscalene brachial plexus block is the gold standard analgesic technique for surgery involving the shoulder and upper arm. However, due to its complications as hemidiaphragmatic paralysis, the superior trunk block was developed in an attempt to reduce major complications.The utility of the superior trunk block has yet to be studied in shoulder surgeries.

Conditions

Superior Trunk Block Versus Interscalene Block for Post-operative Analgesia in Shoulder Surgeries

Study Design

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

Study Groups

interscalene block group

participants undergoing shoulder surgeries will receive ultrasound guided interscalene block

Group Type: ACTIVE_COMPARATOR

interscalene block

Intervention Type: PROCEDURE

will receive a 20 ml mixture of local anesthetic solution prepared as 10 ml of bupivacaine 0.5% diluted with 10 ml normal saline 0.9% will be injected in interscalene block.

superior trunk block

Intervention Type: PROCEDURE

will receive a 20 ml mixture of local anesthetic solution prepared as 10 ml of bupivacaine 0.5% diluted with 10 ml normal saline 0.9% will be injected in superior trunk block.

superior trunk block group

participants undergoing shoulder surgeries will receive ultrasound guided superior trunk block

Group Type: ACTIVE_COMPARATOR

interscalene block

Intervention Type: PROCEDURE

will receive a 20 ml mixture of local anesthetic solution prepared as 10 ml of bupivacaine 0.5% diluted with 10 ml normal saline 0.9% will be injected in interscalene block.

superior trunk block

Intervention Type: PROCEDURE

will receive a 20 ml mixture of local anesthetic solution prepared as 10 ml of bupivacaine 0.5% diluted with 10 ml normal saline 0.9% will be injected in superior trunk block.

Interventions

interscalene block

will receive a 20 ml mixture of local anesthetic solution prepared as 10 ml of bupivacaine 0.5% diluted with 10 ml normal saline 0.9% will be injected in interscalene block.

Intervention Type: PROCEDURE

superior trunk block

will receive a 20 ml mixture of local anesthetic solution prepared as 10 ml of bupivacaine 0.5% diluted with 10 ml normal saline 0.9% will be injected in superior trunk block.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Patients American Society of Anaesthesiologists physical status (ASA) is I to II.
• Both genders.
• Aged group from 21 to 50 years old.
• Patients electively scheduled for shoulder surgery under general anesthesia with normal coagulation profile.

Exclusion Criteria

• Refusal of the procedure or participation in the study.
• Any history or evidence of coagulopathy.
• Evidence of infection at injection site.
• Allergy to study drugs.
• Patients with pulmonary severe respiratory disease.
• Herniated cervical disc or cervical myelopathy.
• Pre-existing neuropathy of the operative limb

• Minimum Eligible Age: 21 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Ain Shams University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Locations

Ainshams University

Cairo, , Egypt

Countries

Egypt

Other Identifiers

superior trunk vs interscalene

Identifier Type: -

Identifier Source: org_study_id