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The Analgesic Effect of (SHAC) Block Versus Suprascapular Nerve Block in Arthroscopic Shoulder Surgeries 50
Clinical Trial NCT06529393 is an interventional study for Shoulder Pain, Postoperative Pain and is currently not yet recruiting. Enrollment is planned to begin on 1 March 2025 and continue until the study accrues 50 participants. Led by Assiut University, this study is expected to complete by 1 February 2026. The latest data from ClinicalTrials.gov was last updated on 24 February 2025.
Brief Summary
The aim of the study is to compare the post-operative analgesic effect of Shoulder anterior capsule (SHAC) block with Suprascapular nerve block for arthroscopic shoulder surgery with a hypothesis that both Shoulder anterior capsule (SHAC) block and Suprascapular nerve block are effective in providing postoperative analgesia for arthroscopic shoulder surgery.
Detailed Description
The role of shoulder arthroscopy in the diagnosis and treatment of shoulder disorders is evolving .
Advances in modern arthroscopy have contributed significantly to greater flexibility and efficacy in addressing shoulder pathology.Advantages of arthroscopy include less invasive approaches, improved visualization, decreased risk of many postoperative complications ,and faster recovery.
Shoulder surgery is well recog...
Show MoreOfficial Title
The Analgesic Effect of Shoulder Anterior Capsule (SHAC) Block Versus Suprascapular Nerve Block in Arthroscopic Shoulder Surgeries
Conditions
Shoulder PainPostoperative PainPublications
Scientific articles and research papers published about this clinical trial:Other Study IDs
- SHAC Block
NCT ID Number
Start Date (Actual)
2025-03
Last Update Posted
2025-02-24
Completion Date (Estimated)
2026-02
Enrollment (Estimated)
50
Study Type
Interventional
PHASE
N/A
Status
Not yet recruiting
Keywords
SHAC Block
Primary Purpose
Prevention
Design Allocation
Randomized
Interventional Model
Parallel
Masking
None (Open Label)
Arms / Interventions
| Participant Group/Arm | Intervention/Treatment |
|---|---|
Active ComparatorSHAC block group For the SHAC block, with the patient in a beach-chair position and with the arm in extension, the subscapularis muscle is stretched posteriorly and becomes easily visible. With external rotation and abduction, the coracobrachialis and the biceps brachii muscles are displaced, allowing the visualization of the interfascial space between the deep lamina of the deltoid muscle fascia and the superficial lamina of the sub...Show More | SHAC Block with the patient in a beach-chair position and with the arm in extension, the subscapularis muscle is stretched posteriorly and becomes easily visible. With external rotation and abduction, the coracobrachialis and the biceps brachii muscles are displaced, allowing the visualization of the interfascial space between the deep lamina of the deltoid muscle fascia and the superficial lamina of the subscapularis fascia.On...Show More |
Active ComparatorSuprascapular nerve block group Patients will be placed in lateral position by using A high - frequency linear ultrasound probe will be placed approximately 2 cm medial to the medial border of the acromion and about 2 cm cranial to the superior margin of the scapular spine until supraspinatus or infraspinatus muscle contractions were elicited. Following negative aspiration,A 21G 10-cm needle will be inserted using an in-plane approach .The tip of t...Show More | suprascapular nerve block Patients will be placed in lateral position by using A high - frequency linear ultrasound probe will be placed approximately 2 cm medial to the medial border of the acromion and about 2 cm cranial to the superior margin of the scapular spine until supraspinatus or infraspinatus muscle contractions were elicited. Following negative aspiration,A 21G 10-cm needle will be inserted using an in-plane approach .The tip of t...Show More |
Primary Outcome Measures
Secondary Outcome Measures
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
effect on postopeartive pain after shoulder arthrscopy | the pain intensity assessment at rest and on coughing using Numerical Rating Scale (NRS) This will measure pain intensity from 0 to 10 , 0: no pain 3:mild pain 7:moderate pain 10:severe pain | baseline |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
-inceidence of (POVN) 24 hours postoperatively -Block related complications during and after block procedure till 24 hours postoperatively (LAST, pneumohorax and vascular puncture during block procedure) | patients complaint from occurrence of nausea and vomiting | first 24 hours |
-Time of the first opioid request | time of the first opioid request , concentration and occurrence of complications (hypotension,bradycardia,itching,urinary retention.) all over 24 hours postoperatively | first 24 hour |
-Block related complications during and after block procedure till 24 hours postoperatively (LAST, pneumohorax and vascular puncture during block procedure) | occurrence of any complications from technical errors | first 24 hours |
Participation Assistant
Eligibility Criteria
Eligible Ages
Adult, Older Adult
Minimum Age
18 Years
Eligible Sexes
All
- -Age between 18-65 years.
- Body mass index (BMI)of 18-35Kg /m2.
- Patients with American society of anesthesiologist (ASA) physical status | / ||.
- Patients scheduled for elective Arthroscopic Shoulder Surgery.
- Both sexes, males and females.
-Patient refusal.
Allergy to local anaesthetics.
Infection at the site of injection .
Coagulopathy.
Chronin pain syndromes.
Prolonged opioid medication
.-Patients who received any analgesia 24 h before surgery.
pregnancy
Study Responsible Party
Rana El-sayed Ali Ibrahim, Principal Investigator, doctor, Assiut University
Study Central Contact
Contact: Rana EA Ibrahim, Resident, 00201069626195, [email protected]
Contact: Ayman M Abdel Khalek, Ass professor, 00201025675901, [email protected]
1 Study Locations in 1 Countries
New Trauma Hospital, Asyut, Egypt