Pericapsular Nerve Group Block in Shoulder Surgery

NCT05940454 | Unknown

• 1 other identifier: PENG
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

Dear Patient, You have been scheduled for shoulder surgery by your surgeon. This surgery is performed under general anesthesia, that is, by putting the patient to sleep, and then moderate or severe pain is experienced. In order to prevent this post-operative pain, painkillers are given through the vascular access or the operated area, namely the shoulder, is locally anesthetized. Many techniques are used to numb the shoulder locally. One of these techniques is the pericapsular nerve group block and it is a newly defined technique. In this block, some of the nerves that carry the pain sensation of the shoulder are temporarily anesthetized with local anesthetics. This study will investigate how effective this block is in reducing pain associated with shoulder surgery.

Conditions

Postoperative Pain

Keywords

pericapsular nerve group block; postoperative pain; shoulder surgery

Outcome Measures

Primary Outcomes (1)

• To investigate the effect of pericapsular nerve group block on postoperative pain.

  Postoperative pain will be assessed using the NRS score (Numerical Rating Scale (0 = no pain, 10 = worst imaginable pain) at 0, 4, 8, 12, and 24 hours.

  24 hours

Secondary Outcomes (1)

• Postoperative pain assessment is to evaluate time to first analgesia requirement, total amount of analgesic consumed, and complications.

  24 hours

Study Arms (2)

Pericapsular nerve group block (Group P)

EXPERIMENTAL

Pericapsular nerve group block will be performed with 20 ml of 0.5% bupivacaine hydrochloride before general anesthesia is applied to the patients in Group P.

Procedure: Pericapsular nerve group block

control group (Group C)

NO INTERVENTION

No block will be applied to patients in Group C.

Interventions

Pericapsular nerve group block PROCEDURE

The patient's arm is externally rotated and abducted at 45 degrees. A longitudinal linear ultrasound probe is placed between the coracoid and the humeral head. After defining the humeral head, the tendon of the subscapular muscle and the deltoid muscle on it, a 50 mm needle is inserted with the "in-plane" technique. When the needle passes through the deltoid muscle and touches the subscapularis tendon, a hard bone-like tissue is felt and the needle is not advanced any further. It is noteworthy that the subscapularis tendon is very rigid and resistant to needle penetration when performing the pericapsular nerve group block. The needle tip is placed between the deltoid muscle and the subscapularis tendon and a local anesthetic drug (20 ml, %0.5 bupivacain hydrochlorur) is injected

Pericapsular nerve group block (Group P)

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may not qualify if:

• coagulopathy,
• neuropathy,
• use of anticoagulants,
• severe diabetes mellitus,
• local anesthetic and/or opioid allergy or sensitivity,
• a history of chronic pain,
• pre-existing psychiatric illness,
• can't understand pain scoring,
• Body mass index greater than 35 kg/m2,
• There is an infection in the body area to be blocked,
• Continuing follow-up and treatment in the intensive care unit,
• open shoulder surgery
• do not approve the informed consent form
• pregnant

Sponsors & Collaborators

• Selcuk University: lead

Related Publications (2)

• Kupeli I, Yazici Kara M. Anesthesia or analgesia? New block for shoulder surgery: pericapsular nerve group block. Braz J Anesthesiol. 2022 Sep-Oct;72(5):669-672. doi: 10.1016/j.bjane.2021.05.009. Epub 2021 Jun 9.

  PMID: 34118263 BACKGROUND

• Ramadurai R, Bhoi D, Nagarajappa A, Amar P. Pericapsular nerve group block (PENG) at neutral position for shoulder manipulation: A feasible approach for a new indication. J Clin Anesth. 2021 Dec;75:110541. doi: 10.1016/j.jclinane.2021.110541. Epub 2021 Oct 12. No abstract available.

  PMID: 34653775 BACKGROUND

MeSH Terms

Conditions

Pain, Postoperative

Condition Hierarchy (Ancestors)

Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Study Record Dates

• First Submitted: July 4, 2023
• First Posted: July 11, 2023
• Study Start: August 1, 2023
• Primary Completion: November 1, 2023
• Study Completion: November 30, 2023
• Last Updated: July 11, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share