Clinical trial NCT06034873: Ultrasound Guided Pericapsular Nerve Block Versus Iv Sedation Analgesia in Reduction of Shoulder Dislocation
Official title: Comparative Study Between Ultrasound Guided Pericapsular Nerve Block Versus Iv Sedation Analgesia in Reduction of Shoulder Dislocation, Double Blinded Controlled Randomized Clinical Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
Conditions: Perioperative Pain
Lead sponsor: Benha University
Sponsor class: OTHER
First posted: 2023-09-13
Enrollment: 42
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: When someone experiences a shoulder dislocation, it can be extremely painful. Emergency physicians often choose to use conscious sedation to help reduce the pain. However, some patients may not be able to tolerate conscious sedation due to concerns about their ability to breathe properly or the risk of inhaling fluids. A recently developed technique called Ultrasound-guided Pericapsular Nerve Group (PENG) block is used to block the articular branches of the shoulder and the pericapsular spread around the glenohumeral joint. The PENG block is commonly used in hip surgery and is effective in providing motor-sparing analgesic results.

Detailed description: When someone experiences a shoulder dislocation, it can be extremely painful. Emergency physicians often choose to use conscious sedation to help reduce the pain. However, some patients may not be able to tolerate conscious sedation due to concerns about their ability to breathe properly or the risk of inhaling fluids. In an ideal scenario, the surgeon could achieve complete pain control and muscle relaxation without compromising the patient's airway. There are various techniques available to facilitate shoulder reduction, including interscalene block, general anesthesia, and intravenous analgesia. All of these methods can help the surgeon ease the patient's pain and reduce the likelihood of complications.1 When choosing the anesthesia method for reducing ASD, the top priority is ensuring the patient's comfort through pain management. The anesthesia helps to relax the muscle spasms, making it easier to reduce the ASD. The goal is to relocate the shoulder with minimal risk of complications.

A recently developed technique called Ultrasound-guided Pericapsular Nerve Group (PENG) block is used to block the articular branches of the shoulder and the pericapsular spread around the glenohumeral joint. The PENG block is commonly used in hip surgery and is effective in providing motor-sparing analgesic results.

Eligibility criteria: Inclusion Criteria:

* (ASA )classes I and II
* patients of either sex, above the age of 18
* patients will undergo dislocated shoulder

Exclusion Criteria:

* the patient's refusal to participate
* coagulation disorders
* allergy to local anesthetic
* history of daily opioid intake
* patients with cognitive impairments

Primary outcomes:
measure: length of hospital stay
timeFrame: 1st 24 hours
Secondary outcomes:
measure: reduction time
timeFrame: 1st hour after intervetion
measure: the visual analogue scale(VAS)
timeFrame: 30 minutes ,2,4,8,12 hours postoperative
Other outcomes:
Locations:
city: Banhā
country: Egypt
facility: Banha faculity of medicine
state: Elqalyoubea
Study officials:
affiliation: banha faculity of medicine
name: Fatma Ah Abdelfatah, MD
role: PRINCIPAL_INVESTIGATOR
References: