Anterior Glenoid Nerve Block Versus Pericapsular Nerve Group Block Versus Interscalene Brachial Plexus Block for Postoperative Pain Management in Shoulder Arthroscopic Surgeries
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Interscalene brachial plexus block, Anterior glenoid nerve block, Pericapsular nerve group block.
- Who it may be relevant to
- Registry conditions: Anterior Glenoid Nerve Block, Pericapsular Nerve Group Block, Interscalene Brachial Plexus Block, Postoperative Pain. Basic parameters: 18 years — 70 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Egypt
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Anterior Glenoid Nerve Block Versus Pericapsular Nerve Group (PENG) Block Versus Interscalene Brachial Plexus (ISB) Block for Postoperative Pain Management in Shoulder Arthroscopic Surgeries
Overview
This study aims to compare between Anterior glenoid nerve block, pericapsular nerve group (PENG) block and Interscalene brachial plexus (ISB) block for post-operative pain management in shoulder arthroscopic surgeries
Detailed description
Major surgeries of the shoulder constitute some of the most commonly performed orthopedic procedures. They often result in moderate to severe postoperative pain thereby requiring a multimodal analgesic approach centered around peripheral nerve blocks.
Postoperative pain management is the part of shoulder surgery to improve patient satisfaction, start rehabilitation process rapidly and decrease for hospital stay.
Interscalene blocks (ISB) are well-studied and established means of providing analgesia following shoulder surgery and are considered the gold standard mode of regional anesthesia and post-operative pain management in shoulder surgeries.
A novel technique: pericapsular nerve group (PENG) block can be effectively and safely applied under ultrasound guidance in shoulder surgery cases for postoperative analgesia. In addition, PENG block targets articular branches with less motor effect compared with interscalene brachial plexus block providing anesthetic and analgesic effect with less complication and better and sooner ambulation.
Interventions
- Other Interscalene brachial plexus block
Patients will receive an Interscalene brachial plexus block. - Other Anterior glenoid nerve block
Patients will receive an anterior glenoid nerve block. - Other Pericapsular nerve group block
Patients will receive a pericapsular nerve group (PENG) block.
Primary outcome measures
- Time to the 1st rescue analgesia [Time frame: 24 hours postoperatively]
Secondary outcome measures (5)
- Total pethidine consumption [Time frame: 24 hours postoperatively]
- Degree of pain [Time frame: 24 hours postoperatively]
- Length of hospital stay [Time frame: Till discharge from hospital (Up to one week).]
- Time needed for the patient to freely move the operated limb [Time frame: Postoperatively (Up to one week).]
- Degree of patients satisfaction [Time frame: 24 hours postoperatively]
Eligibility criteria
Inclusion criteria
- Age from 18 to 70 years.
- No sex predilection.
- American Society of Anesthesiology (ASA) physical status I-II.
- Undergoing shoulder arthroscopic surgeries.
Exclusion criteria
- Patient's refusal.
- Patients with a history of drug allergies to study drugs.
- Evidence of local infection at the site of injection.
- Inability to cooperate
- Neuromuscular pathology (example: - Multiple Sclerosis)
- Previous trauma or surgery to the shoulder
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Egypt · 1 center
- Ain Shams University — Cairo
Identifiers
NCT: NCT06765278 · FMASU MD195/2024