An interventional study of Suprascapular nerve block and Axillary nerve block and Interscalene Nerve Block in Interscalene Nerve Block, Suprascapular Nerve and Shoulder Surgery, sponsored by Ain Shams University. Status unknown. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2024-11-05.
Sponsored by Ain Shams University · Not applicable, Interventional, and Prevention
This study is aims to compare between combined suprascapular and axillary nerve blocks versus interscalene nerve block regarding phrenic nerve affection assessed by ultrasound guided diaphragmatic excursion in shoulder arthroscopy surgeries.
Interscalene approach of brachial plexus nerve block is recognized as the gold standard technique for postoperative pain control after shoulder arthroscopy surgeries . However, it is associated with major adverse effects and possibly critical complications including phrenic nerve affection. Combined suprascapular and axillary nerve blocks are considered to be a safe and effective alternative to interscalene nerve block for shoulder surgery. Futher studies had been done regarding postoperative analgesia after shoulder arthroscopy surgeries using intersalene nerve block versus suprascapular and axillary nerve blocks.
In this study, we will Compare between combined suprascapular and axillary nerve blocks vs interscalene nerve block regarding objective phrenic nerve affection known as a serious complication of interscalene nerve block.
Ain Shams University is the lead sponsor of 1,932 studies on the registry; 433 are open to participants now.
Of its 33 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.
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Exclusion Criteria:
Patients will receive Suprascapular nerve block (SSNB) and Axillary nerve block (AXNB) 30 minutes before the induction of general anaesthesia.
Procedure: Suprascapular nerve block and Axillary nerve block
Patients will receive Interscalene nerve block (ISB) 30 minutes before the induction of general anaesthesia.
Procedure: Interscalene Nerve Block
A linear ultrasound probe will be placed in a sagittal plane at the superior medial border of the scapula. The probe will be moved laterally and then placed parallel to the scapular spine. when the needle tip contacts the bone just medial to the spinoglenoid notch and after confirmation of absence of vascular structure by color Doppler, 10 ml of 0.5% bupivacaine will be injected with aspiration every 3 ml to avoid intravascular injection and the spread of the local anaesthetic
The ultrasound probe will be placed in the supraclavicular fossa in a transverse orientation, aimed caudad into the thoracic cavity, to visualize the brachial plexus near the subclavian artery. Once identified, the plexus will be followed cephalad where it is found within the brachial plexus fascial sheath in the interscalene groove.
incidence of hemidiaphragmatic paralysis measured by ultrasound.
defined as a ≥ 25% reduction in diaphragmatic excursion measured by ultrasound.
Time frame: measurement will be taken 8 hours after the performance of the block for fourth and last time.
postoperative pain using NRS
is to measure first rescue analgesia postoperative (24 hours)
Time frame: 24 hours postoperative
No study locations are listed for this record.
Start is estimated for Nov 2024; primary completion for Oct 2025, 10 months later.
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This study is status unknown, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.
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