What is this study trying to find out about pain relief in shoulder arthroscopy?

This study is evaluating how two different nerve block techniques with dexamethasone compare in managing pain during and after shoulder arthroscopy. Researchers want to understand which method better controls postoperative pain and reduces the need for additional pain medications. The study is sponsored by Assiut University and aims to improve pain management options for patients.

Who may be eligible for this shoulder arthroscopy clinical trial?

Adults aged 18 to 75 scheduled for elective shoulder arthroscopic surgery under general anesthesia may be eligible. Participants need to have a good overall health status (ASA 1 or 2) and not have serious heart problems, blood clotting disorders, or neuropathic diseases. Please review eligibility criteria for more details.

Is there any cost to participate in this shoulder arthroscopy clinical trial?

Study-related care, including the nerve block procedures and all trial visits, is provided at no cost. Personal travel and other expenses may vary and are not guaranteed to be covered. Participants can expect support throughout their involvement in the trial.

Actively Recruiting

Phase Not Applicable

Age: 18Years - 75Years

All Genders

Healthy Volunteers

ID06262893

Comparing Dexamethasone with Combined Supraclavicular and Suprascapular Blocks Versus Interscalene Block for Pain Relief in Shoulder Arthroscopy

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

Participants Needed

Research Sites

4 weeks

Total Duration

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

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

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)

Research Team

Mohamed Ahmed

Mohamed Talaat

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