Paracoracoid Subscapularis Plane Block Versus Iso Block for Shoulder Surgery for Shoulder Surgery

Post Operative Pain Clinical Trial

Official title:

Paracoracoid Subscapularis Plane Block Versus Infraclavicular and Subomohoid Block for Shoulder Surgery

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05439837
• Other study ID #: D 229
• Status: Recruiting
• Phase: N/A
• Start date: June 14, 2022
• Est. completion date: February 1, 2023

Study information

• Verified date: June 2022
• Source: Fayoum University Hospital
• Contact: Nader M El sirry, Bch
• Phone: 01009883597
• Email: Naderserry2020[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Shoulder surgery is the second orthopedic operation cause post operative pain Interscalene block is the standard block for shoulder surgery but it cause phrenic nerve block and diaphragmatic hemipareses Iso block is the block used to block the brachial plexuses cord and suprascapular nerve And paracoracoid subscapularis block supra scapular nerve in supra scapular fosa and axillary nerve as it curves around humeral head

Description:

Two groups Group S for paracoracoid subscapularis block Group I for iso block Twenty patients for para coracoid subscapularis block with ultra sonography 50 mm 22G needle inserted anterior to the fascia and 15ml o.5% bupivicaine injected another twenty patients for iso block a linear probe of ultrasound is placed in the infraclavicular region to identify the cords the needle is inserted 2-3cm superior to the clavicle and advanced in.plane posterior to the clavicle toward the cods and 25ml local anaesthesia is injected

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 40
• Est. completion date: February 1, 2023
• Est. primary completion date: January 1, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 70 Years

Eligibility

Inclusion Criteria:

• male or female patient >20year for shoulder surgery American Society of anaesthesiologist physical state 1 to2

Exclusion Criteria:

• refusal of patient Systemic infection Local infection Neurological or respiratory disease

Related Conditions & MeSH terms

• Pain, Postoperative
• Post Operative Pain

Intervention

Procedure:
• Infraclavicular and subomohoid block
Its blockade of subscapular nerve in the subscapular fossa and axillary nerve as it curves around humeral And blocking of brachial plexuses cord and supra scapular nerve And blocking of the brachial plexuses cord and supra scapular nerve
• Paracoracoid subscapularis plane block
Blocking of suprascapular nerve in supra scapular fossa and axillary nerve as it curves the humeral head

Locations

Country	Name	City	State
Egypt	Fayoum University hospital	Fayoum	Fayoum, Madinat Al Fayyum, Faiyum Governorate, Egypt

Sponsors (1)

Lead Sponsor	Collaborator
Fayoum University Hospital

Country where clinical trial is conducted

Egypt, 

References & Publications (1)

Garrett WE Jr, Swiontkowski MF, Weinstein JN, Callaghan J, Rosier RN, Berry DJ, Harrast J, Derosa GP. American Board of Orthopaedic Surgery Practice of the Orthopaedic Surgeon: Part-II, certification examination case mix. J Bone Joint Surg Am. 2006 Mar;88(3):660-7. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain assessment by VAS score	the quality of analgesia between (0-100 mm) where 0=no pain and 100 = worst comprehensible pain	At 48 hours postoperative