Dexmedetomidine as an add-on to bupivacaine for a nerve block around the shoulder
Official title: The Analgesic Efficacy of Dexmedetomidine as an Adjuvant to Bupivacaine in Ultrasound-guided Pericapsular Nerve Group Block( PENG) in Patients Undergoing Laparoscopic Shoulder Surgeries: A Randomized Controlled Trial
Run by Kasr El Aini Hospital · NCT07626346 · Data updated 2026-11-12
This trial tests whether adding dexmedetomidine to bupivacaine for a PENG nerve block improves pain control after shoulder surgery in adults.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 84 (estimated) |
| Sponsor | Kasr El Aini Hospital Academic / other |
| Locations | 1 site (Cairo) |
| Status | Recruiting |
| Started | June 10, 2026 |
| Main results expected | November 2026 |
| Study ends | November 2026 |
| Registry record updated | June 12, 2026 |
| Trial ID | NCT07626346 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18-65 undergoing laparoscopic shoulder procedures (arthroplasty or shoulder endoscopy) with ASA I-II status.
✕Probably not a fit
Patients with contraindications to dexmedetomidine or those not experiencing improved pain control may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Patients undergoing elective laparoscopic shoulder procedures are randomized to receive a PENG block with bupivacaine alone or with dexmedetomidine as an adjuvant. The blocks are ultrasound-guided and performed with a standardized technique, and postoperative pain is assessed using a visual analogue scale. All participants receive standard perioperative care and outcome measures include pain ratings and opioid use within the first postoperative period. The study aims to determine if the adjuvant reduces pain and opioid needs without introducing unacceptable risks. Enrollment is limited to adults 18-65 with ASA I-II status undergoing shoulder procedures at Kasr Alainy Hospital in Cairo.
Why it matters
Potential benefit: If successful, patients may experience better early postoperative pain relief and reduced need for opioids after shoulder surgery.
How similar studies have gone: Previous nerve block strategies show benefit for shoulder surgery; this exact dexmedetomidine add-on approach is being tested for potential incremental improvement.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Male or female patients aged 18-65 years 2. Patients Undergoing laparoscopic shoulder surgeries (shoulder arthroplasties and shoulder endoscopic surgeries ) 3. American Society of Anesthesiologists (ASA) physical status I-II Exclusion Criteria: 1. Patient refusal. 2. hypersensitivity or contraindication to dexmedetomidine 3. History of allergy or intolerance to study medications 4. Chronic opioid use (\>3 months) 5. Pregnancy or breastfeeding 6. Severe renal or hepatic impairment 7. Patient's with coagulopathy disorders
Where it's running
-
Kasr Alainy
Cairo, Egypt Recruiting
Study contacts
- Study coordinator: Ahmed nabih, lecturer
- Email: nabihomar100@yahoo.com
- Phone: +201002773488
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.