Prospective Observational Study on the Analgesic Effectiveness of Blocking the Suprascapular and Axillary Nerves in Shoulder Arthroscopy.

NCT06611761 | Completed DMC

• 1 other identifier: 2023/491
• Study Type: observational
• Target: 166
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study was to evaluate the analgesic efficacy of suprascapular and axillary nerve block for shoulder arthroscopy surgery

Conditions

Analgesia; Shoulder Arthropathy Associated With Other Conditions; Suprascapular and Axillary Nerve Block

Keywords

shoulder arthroscopy; suprascapular nerve; axillary nerve; multimodal analgesic strategies

Outcome Measures

Primary Outcomes (1)

• Postoperative pain

  The measurement of pain intensity according to the numerical rating scale (NRS) from 0 (absence of pain) to 10 (maximum pain endured)

  The measurement of pain intensity according to the numerical rating scale at preoperative and at the 1st, 2nd, 12th ant 24th postoperative hours

Study Arms (2)

SHAC block + anterior SSN block

Group of patients undergoing shoulder arthroscopy who underwent a block of the anterior capsule of the shoulder (SHAC block) with the suprascapular nerve block (SSN block) performed via an anterior approach with 20 ml of 0.20% ropivacaine

Procedure: Shoulder arthroscopy

Posterior SSN + AN blocks

Group of patients undergoing shoulder arthroscopy who underwent a suprascapular and axillary nerve block performed via a posterior approach with 20 ml of 0.20% ropivacaine

Procedure: Shoulder arthroscopy

Interventions

Shoulder arthroscopy PROCEDURE

Shoulder arthroscopy in procedures that cause intense postoperative pain

Posterior SSN + AN blocks; SHAC block + anterior SSN block

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

After approval of the study by Galician Drug Research Ethics Committee, Spain (CEIm-G) and obtaining informed consent from the participants, patients undergoing shoulder arthroscopy surgery consecutively over the course of one year were included who met the study inclusion criteria.

You may qualify if:

• Patients over 18 years of age.
• ASA (Physical Status Classification System) I - III.
• Having been scheduled for shoulder arthroscopy surgery.

You may not qualify if:

• Any contraindication for performing regional anesthetic techniques:
• Infection at the puncture point.
• Alteration of hemostasis.
• Allergy to local anesthetics.
• Patient refusal to participate in the study.
• Inability to evaluate postoperative pain.
• Known neuropathy of the operated limb.
• Patients who required conversion to open surgery.

Sponsors & Collaborators

• Jose Manuel López González: lead

Study Sites (1)

FINBA

Oviedo, Principality of Asturias, 33001, Spain

Location

Related Publications (8)

• Laumonerie P, Dalmas Y, Tibbo ME, Robert S, Faruch M, Chaynes P, Bonnevialle N, Mansat P. Sensory innervation of the human shoulder joint: the three bridges to break. J Shoulder Elbow Surg. 2020 Dec;29(12):e499-e507. doi: 10.1016/j.jse.2020.07.017. Epub 2020 Jul 23.

  PMID: 32712453 BACKGROUND

• Yamak Altinpulluk E, Teles AS, Galluccio F, Simon DG, Olea MS, Salazar C, Fajardo Perez M. Pericapsular nerve group block for postoperative shoulder pain: A cadaveric radiological evaluation. J Clin Anesth. 2020 Dec;67:110058. doi: 10.1016/j.jclinane.2020.110058. Epub 2020 Sep 26. No abstract available.

  PMID: 32987232 BACKGROUND

• Eckmann MS, Bickelhaupt B, Fehl J, Benfield JA, Curley J, Rahimi O, Nagpal AS. Cadaveric Study of the Articular Branches of the Shoulder Joint. Reg Anesth Pain Med. 2017 Sep/Oct;42(5):564-570. doi: 10.1097/AAP.0000000000000652.

  PMID: 28786899 BACKGROUND

• Gonzalez-Arnay E, Jimenez-Sanchez L, Garcia-Simon D, Valdes-Vilches L, Salazar-Zamorano CH, Boada-Pie S, Aguirre JA, Eichenberger U, Fajardo-Perez M. Ultrasonography-guided anterior approach for axillary nerve blockade: An anatomical study. Clin Anat. 2020 May;33(4):488-499. doi: 10.1002/ca.23394. Epub 2019 May 15.

  PMID: 31050830 BACKGROUND

• Checcucci G, Allegra A, Bigazzi P, Gianesello L, Ceruso M, Gritti G. A new technique for regional anesthesia for arthroscopic shoulder surgery based on a suprascapular nerve block and an axillary nerve block: an evaluation of the first results. Arthroscopy. 2008 Jun;24(6):689-96. doi: 10.1016/j.arthro.2008.01.019. Epub 2008 Mar 21.

  PMID: 18514113 RESULT

• Galluccio F, Fajardo Perez M, Yamak Altinpulluk E, Hou JD, Lin JA. Evaluation of Interfascial Plane and Pericapsular Nerve Blocks to the Shoulder Joint: A Preliminary Analysis of Shoulder Anterior Capsular Block. Pain Ther. 2021 Dec;10(2):1741-1754. doi: 10.1007/s40122-021-00326-0. Epub 2021 Oct 20.

  PMID: 34669181 RESULT

• Neuts A, Stessel B, Wouters PF, Dierickx C, Cools W, Ory JP, Dubois J, Jamaer L, Arijs I, Schoorens D. Selective Suprascapular and Axillary Nerve Block Versus Interscalene Plexus Block for Pain Control After Arthroscopic Shoulder Surgery: A Noninferiority Randomized Parallel-Controlled Clinical Trial. Reg Anesth Pain Med. 2018 Oct;43(7):738-744. doi: 10.1097/AAP.0000000000000777.

  PMID: 29659438 RESULT

• Sun C, Zhang X, Ji X, Yu P, Cai X, Yang H. Suprascapular nerve block and axillary nerve block versus interscalene nerve block for arthroscopic shoulder surgery: A meta-analysis of randomized controlled trials. Medicine (Baltimore). 2021 Nov 5;100(44):e27661. doi: 10.1097/MD.0000000000027661.

  PMID: 34871240 RESULT

MeSH Terms

Conditions

Agnosia

Condition Hierarchy (Ancestors)

Perceptual Disorders; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Bárbara María Jiménez Gómez, MD

  Central University Hospital of Asturias, 33001, Spain

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal investigator

Study Record Dates

• First Submitted: September 22, 2024
• First Posted: September 25, 2024
• Study Start: October 12, 2023
• Primary Completion: September 2, 2024
• Study Completion: September 2, 2024
• Last Updated: September 26, 2024

Record last verified: 2024-09

Locations

ES (1)