An interventional study of Saline and Bupivacaine + Dexamethasone in Preoperative, Ultrasound-Guided and PeriCapsular Nerve Group Block, sponsored by Tanta University. Completed at 1 site in Egypt. Open to participants aged 21 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-01-24.
Sponsored by Tanta University · Not applicable, Interventional, and Treatment
This study aimed to evaluate the analgesic efficacy of preoperative ultrasound-guided peri-capsular nerve group block (PENG) on postoperative analgesia after shoulder arthroscopic surgery.
Postoperative pain control after shoulder surgery is challenging, and poor pain management is invariably reflected in poor outcomes, with longer hospitalization and recovery time. The difficulty in reducing pain due to the complexity of shoulder innervation leads to conducting studies to explore selective axillary nerve blocks with a posterior approach or from the axillae.
The peri-capsular nerve group (PENG) block is a regional anesthetic technique. It can be effectively and safely applied under ultrasound guidance in shoulder surgery cases for postoperative analgesia. It targets only the sensory branches and not the posterior mechanoreceptors; there is a potential motor-sparing effect which is desirable for better physical therapy, and earlier discharge.
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This study's enrollment of 60 is below the median of 77 across 1,023 interventional studies indexed under Agnosia.
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Exclusion Criteria:
Patients received sham PENG block (just 1mL saline).
Drug: Saline
Patients received real PENG block (15 mL of bupivacaine 0.25% +0.2mg/mL dexamethasone).
Drug: Bupivacaine + Dexamethasone
Patients received sham PENG block (just 1mL saline).
Patients received real PENG block (15 mL of bupivacaine 0.25% +0.2mg/mL dexamethasone).
Also known as: PeriCapsular Nerve Group Block (PENG)
Time to the first request of rescue analgesia
Time to the first request of rescue analgesia was recorded from the end of the surgery till first dose of morphine administrated.
Time frame: 24 hours postoperatively
Degree of pain
The degree of pain was assessed using the Numerical Rating Scale (NRS) Pain score (metric score from 0 to 10 where 0 = no pain and 10 = maximal pain). NRS was recorded at PACU and 2, 4, 6, 8, 12, 16, 20, and 24 h postoperative.
Time frame: 24 hours postoperatively
Total morphine consumption
If patient numeric rating score was more than 3, patients received 3 mg morphine slowly intravenously. Morphine injection was repeated whenever required.
Time frame: 24 hours postoperatively
Plan to share: Yes — The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
Supporting information: Study protocol
No publications or documents are linked to this record.
This study is completed, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.
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Tanta University