Paracoracoid Subscapularis Plane Block Versus Iso Block for Shoulder Surgery for Shoulder Surgery

Paracoracoid Subscapularis Plane Block Versus Infraclavicular and Subomohoid Block for Shoulder Surgery

Shoulder surgery is the second orthopedic operation cause post operative pain Interscalene block is the standard block for shoulder surgery but it cause phrenic nerve block and diaphragmatic hemipareses Iso block is the block used to block the brachial plexuses cord and suprascapular nerve And paracoracoid subscapularis block supra scapular nerve in supra scapular fosa and axillary nerve as it curves around humeral head

Study Overview

• Status: Recruiting
• Conditions: Post Operative Pain
• Intervention / Treatment: Procedure: Infraclavicular and subomohoid block; Procedure: Paracoracoid subscapularis plane block

Detailed Description

Two groups Group S for paracoracoid subscapularis block Group I for iso block Twenty patients for para coracoid subscapularis block with ultra sonography 50 mm 22G needle inserted anterior to the fascia and 15ml o.5% bupivicaine injected another twenty patients for iso block a linear probe of ultrasound is placed in the infraclavicular region to identify the cords the needle is inserted 2-3cm superior to the clavicle and advanced in.plane posterior to the clavicle toward the cods and 25ml local anaesthesia is injected

• Study Type: Interventional
• Enrollment (Anticipated): 40
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Nader M El sirry, Bch; Phone Number: Fayoum 01009883597; Email: Naderserry2020@gmail.com
• Study Contact Backup: Name: Omar M Farghaly, MD; Phone Number: Fayoum 01003130742; Email: Sydmr1480@gmail.com

Study Locations

• Egypt
  • Fayoum, Madīnat Al Fayyūm, Faiyum Governorate, Egypt
    • Fayoum, Fayoum, Madīnat Al Fayyūm, Faiyum Governorate, Egypt, Egypt, 63514
      • Recruiting
      • Fayoum University hospital
      • Contact: Hany M Yassin, MD; Phone Number: +20 1111363602; Email: hmy00@fayoum.edu.eg

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 70 years (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• male or female patient >20year for shoulder surgery American Society of anaesthesiologist physical state 1 to2

Exclusion Criteria:

• refusal of patient Systemic infection Local infection Neurological or respiratory disease

Study Plan

How is the study designed?

Design Details

• Primary Purpose: PREVENTION
• Allocation: RANDOMIZED
• Interventional Model: PARALLEL
• Masking: QUADRUPLE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
ACTIVE_COMPARATOR: Infraclavicular and subomohoid block	Procedure: Infraclavicular and subomohoid block; Its blockade of subscapular nerve in the subscapular fossa and axillary nerve as it curves around humeral And blocking of brachial plexuses cord and supra scapular nerve And blocking of the brachial plexuses cord and supra scapular nerve
ACTIVE_COMPARATOR: Paracoracoid subscapularis plane block	Procedure: Paracoracoid subscapularis plane block; Blocking of suprascapular nerve in supra scapular fossa and axillary nerve as it curves the humeral head

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain assessment by VAS score	the quality of analgesia between (0-100 mm) where 0=no pain and 100 = worst comprehensible pain	At 48 hours postoperative

Collaborators and Investigators

• Sponsor: Fayoum University Hospital
• Investigators: Principal Investigator: Mohammed A Shawky, MD, Fayoum university hodpital; Principal Investigator: Joseph M Botros, MD, Eygpt fayoum university; Principal Investigator: Maged L Bolus, MD, Fayoum universty hospital

Publications and helpful links

General Publications

• Garrett WE Jr, Swiontkowski MF, Weinstein JN, Callaghan J, Rosier RN, Berry DJ, Harrast J, Derosa GP. American Board of Orthopaedic Surgery Practice of the Orthopaedic Surgeon: Part-II, certification examination case mix. J Bone Joint Surg Am. 2006 Mar;88(3):660-7. doi: 10.2106/JBJS.E.01208. No abstract available.

Study record dates

Study Major Dates

• Study Start (ACTUAL): June 14, 2022
• Primary Completion (ANTICIPATED): January 1, 2023
• Study Completion (ANTICIPATED): February 1, 2023

Study Registration Dates

• First Submitted: June 22, 2022
• First Submitted That Met QC Criteria: June 27, 2022
• First Posted (ACTUAL): June 30, 2022

Study Record Updates

• Last Update Posted (ACTUAL): June 30, 2022
• Last Update Submitted That Met QC Criteria: June 27, 2022
• Last Verified: June 1, 2022

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pathologic Processes; Postoperative Complications; Pain; Neurologic Manifestations; Pain, Postoperative
• Other Study ID Numbers: D 229

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No