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CTRI Number  CTRI/2025/12/098605 [Registered on: 08/12/2025] Trial Registered Prospectively
Last Modified On: 07/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Comparison between two nerve blocking techniques in terms of pain control in key hole shoulder surgeries. 
Scientific Title of Study   SUBOMOHYOID ANTERTOR SUPRASCAPULAR BLOCK VERSUS SELECTIVE SUPERIOR TRUNK BLOCK FOR PERIOPERATIVE ANALGESIA IN ARTHROSCOPIC SHOULDER SURGERY  
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Anjaly Vattamparambil Remesh 
Designation  Junior resident 
Affiliation  Government Medical College Kozhikode 
Address  Department of Anaesthesiology Government medical college Kozhikode Kozhikode P.O 673008

Kozhikode
KERALA
673008
India 
Phone  8921451632  
Fax    
Email  anjaly543@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. BIJI KP 
Designation  Professor (CAP) 
Affiliation  Government Medical College Kozhikode 
Address  Department of Anaesthesiology Government medical college Kozhikode Kozhikode P.O 673008

Kozhikode
KERALA
673008
India 
Phone  8943162543  
Fax    
Email  bijimchclt@gmail.con  
 
Details of Contact Person
Public Query
 
Name  Anjaly Vattamparambil Remesh 
Designation  Junior resident 
Affiliation  Government Medical College Kozhikode 
Address  Department of Anaesthesia Government medical college Kozhikode Kozhikode P.O 673008

Kozhikode
KERALA
673008
India 
Phone  8921451632  
Fax    
Email  anjaly543@gmail.com  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Kozhikode government medical college 
Address  Government medical college Kozhikode pin 673008  
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr ANJALY  Kozhikode government medical college  Department of anaesthesiology
Kozhikode
KERALA 
04952350216

anjaly543@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE GOVERNMENT MEDICAL COLLEGE KOZHIKODE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M248||Other specific joint derangements,not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  1.Elective unilateral arthroscopic shoulder surgery.
2. ASA PS (American Society of Anaesthesiologists -Physical Status) I to II.
3. Age between 18 and 65.
4. BMI 18 – 25  
 
ExclusionCriteria 
Details  1. Surgeries expected to prolong more than 4 hours
2.severe brinchopulmonary disease, known phrenic nerve palsy
3.existing neurological deficit, chronic pain disorder
4.infection, bleeding disorder, alleegy to local anaesthetic
5. Contraindication to multimodal analgesia
6.Psychiatric illness
7.pregnancy 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. To compare total analgesics consumption intraoperatively and 24 hours postoperatively.
2. To compare NRS- Numerical Rating Score scores at individual time points (2, 4, 6,
12,18 & 24 hours) postoperatively.
3. To compare the duration of analgesia.  
2 HOURS, 4 HOURS, 6 HOURS, 12 HOURS, 18 HOURS, 24 HOURS 
 
Secondary Outcome  
Outcome  TimePoints 
1. To compare reduction of diaphragmatic excursion at 30 minutes after block in
centimetres.
2. To compare post block complications.
3. To compare patient satisfaction with analgesia assessed using NRS at 24 hours.  
24 hours 
 
Target Sample Size   Total Sample Size="64"
Sample Size from India="64" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   22/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This study compares two modern shoulder nerve blocks - Sub omohyoid anterior suprascapular (SSNB) and selective superior trunk block (STB) - to determine which provides better analgesia with fewer side effects for patients undergoing arthroscopic shoulder arthroscopic surgery. Traditional interscalene blocks though effective can cause diaphragmatic palsy and respiratory depression. Newer diaphragm sparing blocks like SSNB and STB may offer similar analgesia with improved safety but direct comparison between them is limited. This prospective observational study will include 64 participants (ASA I-II) undergoing elective unilateral shoulder arthroscopy. Patients will receive either of the blocks using 10 ml of 0.5% bupivacaine along with superficial cervical plexus block. Pain scores, total analgesic consumptions, diaphragmatic movement using USG, complications and patient satisfaction will be assessed.  
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