Comparing two types of nerve blocks for pain relief during shoulder surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to evaluate the effectiveness of a combined supraclavicular and suprascapular nerve block with dexamethasone compared to an interscalene brachial plexus block for managing postoperative pain in patients undergoing shoulder arthroscopy. The researchers will measure pain scores, the need for additional analgesics, and diaphragmatic movement after surgery. The goal is to determine which nerve block technique provides better pain control and recovery outcomes for patients. This interventional approach focuses on optimizing pain management strategies in surgical settings.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* ASA status 1,2.

  * Age 18 years or older
  * Elective shoulder arthroscopic surgery under general anesthesia and nerve block performed preoperatively.

Exclusion Criteria:

* • Patient refusal

  * Serious cardiac arrhythmias (including atrial fibrillation) or unstable coronary artery disease.
  * Use of drugs that act on the autonomic nervous system (including β- blockers).
  * Coagulation disorders..
  * Anatomical disorders and/or neuropathic disease.
  * BMI above 40.
  * History of substance abuse.
  * Chronic use of psychotropic and/or opioid.
  * History of psychiatric diseases needing treatment.
  * Allergy to any drug in the study protocol.
  * Failure of nerve block performed in the preoperative block room when tested prior to entering the operating room (i.e. lack of loss of sensation to ice at the shoulder incision level).

Where it's running

• Assiut University
  Asyut, Egypt Recruiting

Study contacts

• Study coordinator: Mohamed Ahmed
• Email: mohamedelkhatib90@gmail.com
• Phone: 01151994269

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.