Ignite Creation Date:
2024-05-06 @ 3:39 PM
Last Modification Date:
2024-10-26 @ 1:54 PM
Study NCT ID:
NCT04709250
Status:
COMPLETED
Last Update Posted:
2022-02-14
First Post:
2021-01-07
Brief Title:
Evaluating the Analgesic Efficacy of Combined Individual Nerve Block in Comparison to Interscalene Nerve Block
Sponsor:
Ain Shams University
Organization:
Ain Shams University
Study Overview
Official Title:
Evaluating the Analgesic Efficacy of Combined Individual Nerve Block in Comparison to Interscalene Nerve Block in Patients Undergoing Shoulder Arthroscopic Assisted Adhesiolysis
Status:
COMPLETED
Status Verified Date:
2022-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Patients undergoing total shoulder arthroscopic adhesiolysis may experience severe postoperative pain Inadequate pain management can result in unfavourable hospital outcomes and the development of persistent neuropathic manifestation the aim of the study is to compare both ultrasound techniques combined individual nerve block to interscalene nerve block as regards the postoperative analgesic effect and shoulder range of movement
Detailed Description:
60 patients will be attached to standard monitoring will have a secured intravenous line Then the skin overlying the procedure area will be sterilized all patients will be randomly divided into two equal groups group A will receive ultrasound-guided interscalene block ISNB and group B will receive ultrasound-guided selective nerve block SNB of the following nerves suprascapular nerve block SSNB axillary nerve block ANB lateral pectoral nerve block LPNB and musculocutaneous nerve block MCNB
after delivering the nerve block and confirming sensory blockade by loss of cold sensation all the patients will receive general anaesthesia with endotracheal intubation using Propofol 200mg Atracurium 05 mgkg 100 micrograms fentanyl
After the procedure ends the patient will be extubated and transferred to the postoperative anaesthesia care unit All patients will receive patient-controlled analgesia PCA in the form ketorolac 30 mg and paracetamol one-gram iv infusion
The following parameter will be assessed and measured
1 Intra-operative inhalation agent consumption
2 Intraoperative opioid consumption fentanyl if required
3 Duration of postoperative analgesia and time for first rescue analgesia will be recorded Rescue analgesia in the form of 100mg pethidine IM and 1 gm paracetamol IV will be given on the first call for analgesia and then repeated on demand The total dose of pethidine and paracetamol are given throughout the first 24 hours will be recorded
4 The time for asking for rescue analgesia in the first 24 h and the dose of the analgesic used will also be recorded
5 The degree of postoperative pain assessed by Visual Analogue Scale VAS
6 Duration of the block time from completing LA injection till complete recovery of sensory function ie the patient feels a cold sensation
7 Postoperative range of motion of the operated shoulder
8 Patients satisfaction yes or no or somewhat satisfied
9 Block-related complications will be also recorded eg paraesthesia and postoperative motor weakness 24 hours after the surgery pneumothorax and vascular puncture
after delivering the nerve block and confirming sensory blockade by loss of cold sensation all the patients will receive general anaesthesia with endotracheal intubation using Propofol 200mg Atracurium 05 mgkg 100 micrograms fentanyl
After the procedure ends the patient will be extubated and transferred to the postoperative anaesthesia care unit All patients will receive patient-controlled analgesia PCA in the form ketorolac 30 mg and paracetamol one-gram iv infusion
The following parameter will be assessed and measured
1 Intra-operative inhalation agent consumption
2 Intraoperative opioid consumption fentanyl if required
3 Duration of postoperative analgesia and time for first rescue analgesia will be recorded Rescue analgesia in the form of 100mg pethidine IM and 1 gm paracetamol IV will be given on the first call for analgesia and then repeated on demand The total dose of pethidine and paracetamol are given throughout the first 24 hours will be recorded
4 The time for asking for rescue analgesia in the first 24 h and the dose of the analgesic used will also be recorded
5 The degree of postoperative pain assessed by Visual Analogue Scale VAS
6 Duration of the block time from completing LA injection till complete recovery of sensory function ie the patient feels a cold sensation
7 Postoperative range of motion of the operated shoulder
8 Patients satisfaction yes or no or somewhat satisfied
9 Block-related complications will be also recorded eg paraesthesia and postoperative motor weakness 24 hours after the surgery pneumothorax and vascular puncture
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None