Comparing two types of nerve blocks for pain relief during shoulder surgery
Effect of Dexamethasone Adjuvant in Combined Supraclavicular Block and Suprascapular Block Versus Interscalene Block in Patients Undergoing Shoulder Arthroscopy
This study is testing which type of nerve block can better relieve pain after shoulder surgery for patients.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 18 Years to 75 Years |
| Sex | All |
| Sponsor | Assiut University Academic / other |
| Locations | 1 site (Asyut) |
| Trial ID | NCT06262893 on ClinicalTrials.gov |
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.
Who should consider this trial
Good fit: Ideal candidates are adults aged 18 and older scheduled for elective shoulder arthroscopic surgery under general anesthesia.
Not a fit: Patients with serious cardiac issues, coagulation disorders, or those with a BMI over 40 may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to improved pain management techniques for patients undergoing shoulder surgery.
How similar studies have performed: Other studies have shown promising results with similar nerve block techniques, indicating potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
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 this trial is running
Asyut
- Assiut University — Asyut, Egypt (Recruiting)
Study contacts
- Study coordinator: Mohamed Ahmed
- Email: mohamedelkhatib90@gmail.com
- Phone: 01151994269
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.