Ultrasound-guided PENG Block for Shoulder Surgery

Pain After Shoulder Surgery Clinical Trial

Official title:

Efficacy and Safety of Pericapsular Nerve Group (PENG) Block for Patients Undergoing Shoulder Surgery

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05072223
• Other study ID #: PBFS
• Status: Not yet recruiting
• Phase: N/A
• Start date: November 1, 2021
• Est. completion date: March 1, 2022

Study information

• Verified date: September 2021
• Source: Henan Provincial People's Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Significant pain after shoulder surgery induce worse experience and may delay recovery of patients undergoing shoulder surgery. Interscalene brachial plexus block (ISB) is a common and rapid-onset procedure for pain control of patients undergoing shoulder surgery. However, the high incidence of adverse events such as hemidiaphragmatic paresis, horner syndrome after interscalene block threatened patients' safety and raised clinicians' concerns on them. Hence, effective analgesia alternatives to interscalene block with less complications are needed. Recently, pericapsular Nerve Group (PENG) Block, a new technology is reported for block of articular branches of the shoulder and well pericapsular spread around the glenohumeral joint. In this study, we assume that PENG Block may offer a noinferior analgesia and less incidence of nerve block related adverse events compared with ISB.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 80
• Est. completion date: March 1, 2022
• Est. primary completion date: February 1, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• ASA I-III
• 18 years and older
• Shoulder surgery

Exclusion Criteria:

• Severe pulmonary diseas
• Chronic pain disorders
• Infection of shouler skin
• Pregnant women
• Patients allergy to local anesthetics

Related Conditions & MeSH terms

• Pain After Shoulder Surgery

Intervention

Procedure:
• Pericapsular nerve group block
A new nerve block guided by ultrasound that aims to block articular branches of the shoulder.
• Interscalene block
A common and rapid-onset nerve block method guided by ultrasound for pain control of patients undergoing shoulder surgery.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Henan Provincial People's Hospital

References & Publications (4)

Küpeli I, Yazici Kara M. Anesthesia or analgesia? New block for shoulder surgery: pericapsular nerve group block. Braz J Anesthesiol. 2021 Jun 9. pii: S0104-0014(21)00230-X. doi: 10.1016/j.bjane.2021.05.009. [Epub ahead of print] — View Citation

Lee MG, Shin YJ, You HS, Lim CH, Chang YJ, Shin HJ. A Comparison of Anesthetic Quality Between Interscalene Block and Superior Trunk Block for Arthroscopic Shoulder Surgery: A Randomized Controlled Trial. Pain Physician. 2021 May;24(3):235-242. — View Citation

Yamak Altinpulluk E, Galluccio F, Salazar C, Olea MS, García Simón D, Espinoza K, Teles AS, González-Arnay E, Fajardo Perez M. A novel technique to Axillary Circumflex Nerve Block: Fajardo approach. J Clin Anesth. 2020 Apr 16;64:109826. doi: 10.1016/j.jclinane.2020.109826. [Epub ahead of print] — View Citation

Yamak Altinpulluk E, Teles AS, Galluccio F, Simón DG, Olea MS, Salazar C, Fajardo Perez M. Pericapsular nerve group block for postoperative shoulder pain: A cadaveric radiological evaluation. J Clin Anesth. 2020 Dec;67:110058. doi: 10.1016/j.jclinane.2020.110058. Epub 2020 Sep 26. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Postoperative pain scores	Pain after the shoulder surgery will be measured using an 11-point numerical rating scale (0 = no pain, 10 = worst pain imaginable).	3 month
Secondary	Adverse events		3 month