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Ropivacaine Use in Interscalene Block; What is the Minimal Effective Analgesic Concentration (MEAC 90)

Phase 4
Conditions
Postoperative Pain
Registration Number
NCT04833296
Lead Sponsor
Healthpoint Hospital
Brief Summary

This study aim to calculate the minimal effective ropivacaine concentration required achieve successful analgesic interscalene block in 90% of patients (MEAC90)

Detailed Description

* Before induction of general anesthesia, all patients will receive interscalene block using 15ml of ropivacaine which concentration will be based on the response of the previous patient.

* Based on biased-coin design up-down sequential method: if patient has pain free recovery, a successful block, the next patient will be randomized to receive either the same ropivacaine concentration or a concentration 0.01% w/v less. However, if he has an unsuccessful block, the next patient will receive a concentration 0.01% w/v higher.

* Patients with pain free recovery will be considered to have positive response.

* Patients' responses will be analyzed to calculate the MEAC90.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
45
Inclusion Criteria
  • Patients, who are scheduled for shoulder arthroscopy
Exclusion Criteria
    • <18 y,
  • ASA physical class greater >III

    • BMI >40 has any contraindication for medications or techniques used in the study

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
effective analgesic interscalene blockin recovery unit (one hour after surgery)

postoperative pain (will be assessed using numerical rating scale. if ≥ 3, ineffective block will be considered and if \<3, an effective block will be considered

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Healthpoint Hospital

🇦🇪

Abu Dhabi, United Arab Emirates

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