Effect of Dexamethasone Adjuvant in Combined Supraclavicular Block and Suprascapular Block Versus Interscalene Block in Patients Undergoing Shoulder Arthroscopy
Recruiting
N/AInterventional Study
Shoulder Arthroscopy BlocksDexamethasone
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
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At a Glance
Age
18 – 75
Sex
Any
Study type
Interventional
Purpose
Treatment
Participants needed
60 (estimated)
Sponsor
Assiut University · Other
Who this trial is looking for
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In this study the investigators aim to compare the effect of the suprascapular- supraclavicular nerve block in association with dexamethasone to that of the interscalene brachial plexus block on analgesic effect during arthroscopic shoulder surgery, as postoperative pain scores ,postoperative consumption of analgesic rescue medications and diaphragmatic excursion assessment.
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Eligibility Criteria
Inclusion Criteria:
* ASA status 1,2.
* Age 18 years or older
* Elective shoulder arthroscopic surgery under general anesthesia and nerve block performed preoperatively.
Exclusion Criteria:
* • Patient refusal
* Serious cardiac arrhythmias (including atrial fibrillation) or unstable coron…
Inclusion Criteria:
* ASA status 1,2.
* Age 18 years or older
* Elective shoulder arthroscopic surgery under general anesthesia and nerve block performed preoperatively.
Exclusion Criteria:
* • Patient refusal
* Serious cardiac arrhythmias (including atrial fibrillation) or unstable coronary artery disease.
* Use of drugs that act on the autonomic nervous system (including β- blockers).
* Coagulation disorders..
* Anatomical disorders and/or neuropathic disease.
* BMI above 40.
* History of substance abuse.
* Chronic use of psychotropic and/or opioid.
* History of psychiatric diseases needing treatment.
* Allergy to any drug in the study protocol.
* Failure of nerve block performed in the preoperative block room when tested prior to entering the operating room (i.e. lack of loss of sensation to ice at the shoulder incision level).
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