Interscalene Block Versus Anterior Suprascapular Block for Post-Thoracotomy Shoulder Pain
Interscalene Block Versus Anterior Suprascapular Block for Post-Thoracotomy Shoulder Pain: A Randomized Controlled Trial
National Cancer Institute, Egypt
75 participants
Feb 21, 2026
INTERVENTIONAL
Conditions
Summary
This study aims to compare the frequency of occurrence of ipsilateral shoulder pain in patients undergoing thoracotomy with ultrasound-guided interscalene block, anterior suprascapular block as adjunct to epidural and epidural block only.
Eligibility
Inclusion Criteria4
- Age \> 18 years and ≤ 65 years old.
- American Society of Anesthesiologists (ASA) physical status II-III.
- Body mass index 18-35 kg/m2.
- Patients who have a confirmed diagnosis of lung cancer and are scheduled for elective open-lung surgery.
Exclusion Criteria8
- Allergy to local anesthetics.
- Known psychiatric or neurologic disorders.
- Alcohol or narcotics abuse.
- Contraindications to thoracic epidural or suprascapular block, or interscalene block, e.g., coagulopathy or local infection.
- Pre-existing shoulder symptoms.
- History of previous thoracotomy.
- Severe restrictive or obstructive pulmonary disease.
- Pre-existing contralateral diaphragmatic paralysis.
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Interventions
Patients will receive an ultrasound-guided interscalene block.
Patients will receive an ultrasound-guided anterior suprascapular block.
Patients will not receive regional blocks apart from epidural analgesia.
Locations(1)
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NCT07424638