Sub Omohyoid Suprascapular Nerve Block Versus Interscalene Nerve Block

NCT05796778 | Unknown

• 1 other identifier: 685/2023
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

Shoulder surgery can be very painful surgery after which the use of opioids is often required. The well-known side-effects of opioids (e.g. respiratory depression, somnolence, nausea, vomiting, and pruritus) limit their use in so called 'fast track' surgery and anaesthesia programmes. the study aimed to compare the effect of sub omohyoid suprascapular nerve block versus interscalene nerve block in preventing postoperative pain and decreasing analgesic consumption in patients scheduled for shoulder surgery

Conditions

Post Operative Pain; Regional Anesthesia; Nerve Block

Keywords

Interscalene brachial plexus block; shoulder pain; subomohyoid plane block

Outcome Measures

Primary Outcomes (1)

• Visual analogue pain score

  pain score from 0 to 10 which mean 0 no pain and 10 the worst pain ever

  24 hour

Secondary Outcomes (3)

• Time of first analgesic request

  24 hour

• Total analgesic consumption

  24 hour

• Incidence of any side effects

  24 hour

Study Arms (2)

subomohyoid suprascapular nerve

EXPERIMENTAL

superficial probe of ultrasound was placed in the transverse plane to visualize the superior trunk in the short axis. The suprascapular nerve was identified as it branched off from the superior trunk and traced until it coursed beneath the inferior belly of the omohyoid muscle.

Procedure: subomohyoid plane block

Interscalene brachial plexus

ACTIVE COMPARATOR

ultrasound-guided interscalene block involves imaging the C5 and C6 roots at approximately the level of the cricoid cartilage, just distal to where they emerge from behind their respective transverse processes and where they lie in the groove between the anterior and middle scalene muscles

Procedure: Interscalene brachial plexus block

Interventions

subomohyoid plane block PROCEDURE

The block needle was inserted in line with the probe in a lateral-to-medial orientation toward the suprascapular nerve. Local anesthetic solution was then injected after negative aspiration for blood to achieve circumferential spread around the neurovascular bundle

subomohyoid suprascapular nerve

Interscalene brachial plexus block PROCEDURE

The block needle is usually advanced in plane in a lateral-to-medial direction through the middle scalene muscle to contact the nerve roots and inject local anesthetic around them.

Interscalene brachial plexus

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Aged 18-60 years.
• ASA I-II.
• Both sexes.
• Shoulder surgery.

You may not qualify if:

• Patient refusal
• Allergy to local anesthetics
• BMI \>40 kg/m2
• Bleeding diathesis or history of anticoagulant use.
• Psychiatric diseases.
• Infection of the skin at the site of needle punctures area.

Sponsors & Collaborators

• Minia University: lead

Study Sites (1)

Minia University Hospital

Minya, 61511, Egypt

RECRUITING

MeSH Terms

Conditions

Pain, Postoperative; Shoulder Pain

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms; Arthralgia; Joint Diseases; Musculoskeletal Diseases

Study Officials

• hassan m. hetta, lecturer

  Minia University, faculty of medicine

  PRINCIPAL INVESTIGATOR

Central Study Contacts

hassan m. hetta, lecturer

CONTACT

1010901114; hassan.hetta@mu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecturer of anesthesia and ICU

Study Record Dates

• First Submitted: March 21, 2023
• First Posted: April 4, 2023
• Study Start: April 1, 2023
• Primary Completion: November 1, 2023
• Study Completion: December 1, 2023
• Last Updated: October 19, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)