Actively Recruiting

Phase Not Applicable
Age: 18Years - 75Years
All Genders
Healthy Volunteers
ID06262893

Effect of Dexamethasone Adjuvant in Combined Supraclavicular and Suprascapular Block Versus Interscalene Block in Patients Undergoing Shoulder Arthroscopy

Led by Assiut University · Updated on 2025-04-22

60

Participants Needed

1

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are comparing the pain relief effects of two different nerve block techniques used during arthroscopic shoulder surgery. The study specifically evaluates the use of a combined suprascapular and supraclavicular nerve block with dexamethasone versus an interscalene brachial plexus block. The goal is to assess differences in postoperative pain levels, the need for additional pain medication, and diaphragm movement after surgery. Participants will receive one of two nerve block procedures before their shoulder arthroscopy under general anesthesia. One group will get the combined suprascapular and supraclavicular block with dexamethasone, while the other will receive the interscalene block. The study is randomized and single-blinded, meaning participants are randomly assigned and only one party is unaware of the group assignment. During the study, pain will be measured using a visual analog scale for 48 hours after surgery. Researchers will also assess diaphragm movement one hour after the operation. Other evaluations include monitoring the amount of additional pain medication participants use. The study will track participants closely to compare the effectiveness of the two nerve block methods in managing postoperative pain and side effects.

CONDITIONS

Brief Title

Effect of Dexamethasone Adjuvant in Combined Supraclavicular Block and Suprascapular Block Versus Interscalene Block in Patients Undergoing Shoulder Arthroscopy

Who Can Participate

Age: 18Years - 75Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • ASA status 1 or 2
  • Age 18 years or older
  • Scheduled for elective shoulder arthroscopic surgery under general anesthesia
  • Nerve block performed preoperatively
Not Eligible

You will not qualify if you...

  • Patient refusal
  • Serious cardiac arrhythmias including atrial fibrillation or unstable coronary artery disease
  • Use of drugs affecting the autonomic nervous system including beta-blockers
  • Coagulation disorders
  • Anatomical disorders or neuropathic disease
  • Body mass index above 40
  • History of substance abuse
  • Chronic use of psychotropic or opioid medications
  • History of psychiatric diseases requiring treatment
  • Allergy to any drug in the study protocol
  • Failure of nerve block tested before surgery (lack of loss of sensation at shoulder incision level)

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Preoperative period and surgery day

Participants receive either combined supraclavicular and suprascapular nerve blocks or an interscalene nerve block before shoulder arthroscopic surgery.

1 visit on the day of surgery

Post-operative Follow-up

Duration - 48 hours post-surgery

Participants are monitored for pain relief and diaphragmatic function after surgery.

Assessments at 1 hour and 48 hours postoperatively

Trial Site Locations

Total: 1 location

1

Assiut University

Asyut, Egypt

Actively Recruiting

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Research Team

M

Mohamed Ahmed

M

Mohamed Talaat

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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