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fluoroscopic group & includes 30 patients where SHPB will be done Fluoroscopic-guided (the posterior oblique trajectory technique.the double modality group & includes 30 patients where SHPB will be done using our described new technique of performing the modified Mishra technique by injecting 3-5 ml of contrast media (lohexol=omnipaque) after getting the target position.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| fluroscopic guided block | Active Comparator |
| |
| double modality guided block | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| fluroscopic guided block | Procedure | SHPB will be done Fluoroscopic-guided (the posterior oblique trajectory technique. |
|
| Measure | Description | Time Frame |
|---|---|---|
| pain relief will be assessed by VAS | pain relief will be assessed by VAS (visual Analogue score) which is 100 mscale with left (0) end means no pain & right (10) end means the worst possible pain | 12 weeks |
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Inclusion Criteria:
Exclusion criteria
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NCI, Cairo university | Cairo | Egypt |
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| ID | Term |
|---|---|
| D019220 | High-Energy Shock Waves |
| ID | Term |
|---|---|
| D000069453 | Ultrasonic Waves |
| D013016 | Sound |
| D011840 | Radiation, Nonionizing |
| D011827 | Radiation |
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| double modality (ultrasound and fluroscopic) guided block | Procedure | SHPB will be done using our described new technique of performing the modified Mishra technique by injecting 3-5 ml of contrast media (lohexol=omnipaque) after getting the target position. Then C-arm pictures will be checked (both P-A & dead lateral) |
|
| D055585 |
| Physical Phenomena |