Is Pericapsular Nerve Group Block Better Than Interscalene Nerve Block Regarding Effect on Hand Movement in Shoulder Scope Surgeries?

Sherin Refaat60 enrolled

Overview

The goal of this clinical trial is to learn if pericapsular nerve group block (PENG) in shoulder scope surgery provides adequate analgesia with less affection of muscle power compared to interscalene block. The main questions it aims to answer are: Does PENG block provide analgesia similar to interscalene block? Does PENG block have less or no effect on muscle power compared to interscalene block? Researchers will compare PENG block with interscalene block Participants will: Receive either PENG or interscalene block before shoulder scope surgery Be evaluated for their motor power after receiving the block and after the surgery Be evaluated for pain after the surgery

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Shoulder Arthroscopic Surgery

Interventions

Eligibility

Sex: ALLMin age: 22 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adult patients of the specified age range * Any gender * American Society of Anaesthesiologists physical status grades 1 and 2 * Body mass index less than 35 * Duration of surgery between 90 to 120 minutes Exclusion Criteria: * American Society of Anaesthesiologists physical status grades 3 and 4 * Allergy to local anesthetics * Coagulation disorder (INR \>1.2, Platelets \<100,000), or recent intake of clopidogrel or warfarin within 1 week * Active infection at site of injection

Outcomes

Primary Outcomes

Time for full recovery of hand motor power

Time from start of block activation till time of achieving grip strength similar to patient's baseline

Time frame: Starting from block activation until the achieves preoperative grip strength ( 24 hours)

Secondary Outcomes

Hand grip power after surgery

The measured hand grip power using a digital dynamometer

Time frame: 2,4,6,12,24 hours

Visual analogue scale assessment

Assessing postoperative pain, scale from 0 to 10 where 0 is no pain and 10 is worst pain

Time frame: 2,4,6,12 hours

Time to first analgesia request

Time from end of the surgery till the participant asks for additional analgesia

Time frame: 24 hours

Patient satisfaction score

Assessing the participant satisfaction after the postoperative period regarding overall experience with the block given on a scale of 1 to 5, where 1 is the least satisfaction and 5 is the greatest.