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This study will be conducted to compare the perioperative analgesic efficacy of ultrasound - guided interscalene brachial plexus block versus combined shoulder anterior capsular block and anterior suprascapular nerve block for arthroscopic shoulder surgeries.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| group 1 Ultrasound-guided Interscalene Block group | Active Comparator | In this group, ultrasound-guided ISB will be done using 10 ml of bupivacaine 0.25%. |
|
| group 2 Combined Ultrasound guided shoulder anterior capsular block and suprascapular nerve block | Active Comparator | , ultrasound-guided SHAC block will be done using 10 ml of bupivacaine 0.25% injected in the interfacial plane between deltoid and subscapular muscle and 10 ml of bupivacaine 0.25% injected in the pericapsular space. Ultrasound-guided SSN block will be done using 10 ml of bupivacaine 0.25% injected at sub omohyoid space. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound-guided Interscalene Block group | Procedure | ultrasound guided interscalene block versus combined ultrasound guided shoulder anterior capsular block and suprascapular nerve block for arthroscopic shoulder surgery |
| Measure | Description | Time Frame |
|---|---|---|
| post operative analgesic consumption | The first 24 hours post operative analgesic consumption | 24 hours after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analogue score (VAS) in the first 24 hours after surgery | - Postoperative pain intensity will be assessed in the first 24 hour using VAS score where (0 = no pain and 100 = the worst imaginable pain) | first 24 hours after surgery |
| Patient satisfaction score |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine Tanta University | Tanta | Egypt |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D002045 | Bupivacaine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| Combined Ultrasound guided shoulder anterior capsular block and suprascapular nerve block | Procedure | Combined Ultrasound guided shoulder anterior capsular block and suprascapular nerve block |
|
| Bupivacaine | Drug | bupivacaine 0.25%. |
|
Patient satisfaction score will be assessed on the basis of a questionnaire and graded on a 4-point scale (excellent/good/fair/poor). |
| first 24 hours after surgery |
| The incidence of hemi diaphragmatic paralysis | hemidiaphragmatic paralysis after block | immediately before block and immediately after procedure |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D000588 |
| Amines |