-
Study aim
-
The comparative study of postoperative shoulder pain under pain anesthesia with sedation for performing the PSA procedure and supracapacular nerve block under ultrasound guide in patients referred to the emergency department
-
Design
-
The design of the study is a randomized clinical trial. The randomization method is blocked. The sample size for each study group is 50.
-
Settings and conduct
-
In this research, all patients referred to the Emergency Department of Shohada-e- Haftome tir and Hazrat Rasoul Akram Hospital, who suffered from Shoulder dislocation will be enrolled. Patients will be randomly divided into two groups based on 10 blocks. A total of 100 patients will be examined. Data analyzers will be blind.
-
Participants/Inclusion and exclusion criteria
-
All patients referred to the Emergency Department of Shohada-e- Haftome tir , Hazrat Rasoul Akram and Firouzgar Hospital, who suffered from Shoulder dislocation will be enrolled. Inclusion criteria: Shoulder dislocation with or without trauma, patients over 18 years old. Exclusion criteria: Patients over 70 years old, The presence of fracture along the dislocation, chronic, kidney and liver disease, systolic pressure less than 90 mmHg, heart rate less than 60 times per minute
-
Intervention groups
-
In Control group, Ketamine will be given to the patient at a dose of 1-2mg/kg as a titration to provide a suitable sedation. In Intervention group, An ultrasound device is used for the 5 -10 MHz linear probe. The linear probe is placed in parallel with the sphagnum throat, and is injected from the medial to the lateral, about 2-3 mm on the probe medial side, 22 gauge syringe, containing 5 cc of lidocaine in the scapular area.
-
Main outcome variables
-
Pain relief, Patient Satisfaction